NPIMap

Organization Active NPI

Citizens Integrated Medical Services LLC

Doing business as Cimsaz

  • Primary Care Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1497379069
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CITIZENS INTEGRATED MEDICAL SERVICES LLC
Doing business as
Cimsaz
Practice address
1530 E Williams Field Rd Ste 201
Gilbert, AZ 85295-1825
Phone
(480) 406-1132
Fax
(480) 613-2912
NPI assigned
May 29, 2020
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Noah Sang, AGACNP-C, FNP-CNPI 1457839896
Title
Administrator
Phone
(480) 992-1455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Acute Care Nurse Practitioner 363LA2100X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

1530 E Williams Field Rd Ste 201
Gilbert, AZ 85295-1825

Mailing address

1530 E Williams Field Rd Ste 201
Gilbert, AZ 85295-1825
Phone (480) 406-1132

Other practice location 1

288 N Ironwood Dr Ste 112&113
Apache Junction, AZ 85120-3830
Phone (480) 992-1455

Other identifiers 1

IdentifierTypeStateIssuer
1457839896MedicaidAZ

Other names 1

  • CIMSAZ Doing business as

National Provider Directory

National Provider Directory

Locations

1530 E Williams Field Rd
Ste 201
Gilbert, AZ 85295
Phone (480) 406-1132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1497379069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E WILLIAMS FIELD RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951825",
            "telephone_number": "480-406-1132",
            "fax_number": "480-613-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E WILLIAMS FIELD RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951825",
            "telephone_number": "480-406-1132",
            "fax_number": "480-613-2912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 N Ironwood Dr Ste 112&113",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851203830",
            "country_code": "US",
            "telephone_number": "480-992-1455",
            "fax_number": "480-992-5477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITIZENS INTEGRATED MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "SANG",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-992-1455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AGACNP-C, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457839896",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIMSAZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.