NPIMap

Organization Active NPI

Latino Care, LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1497510721
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LATINO CARE, LLC
Practice address
3102 E Indian School Rd Ste 130
Phoenix, AZ 85016-6872
Phone
(602) 353-6656
Fax
(602) 442-2065
NPI assigned
Feb 15, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Yuri Hernandez
Title
Admin
Phone
(602) 353-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3102 E Indian School Rd Ste 130
Phoenix, AZ 85016-6872

Mailing address

3140 N 35TH Ave Ste 7
Phoenix, AZ 85017-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428000523 AZ Part B Supplier - Clinic/Group Practice 0648403618 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Latino Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5847 S 16th St
Phoenix, AZ 85040
Phone (602) 268-3451

Practitioners & affiliated clinicians

Practitioners 11

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497510721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 N 35TH AVE STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 E INDIAN SCHOOL RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166872",
            "telephone_number": "602-353-6656",
            "fax_number": "602-442-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-09-11",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "602-353-6656"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.