Organization Active NPI

Comprehensive Care LLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1508117797
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPREHENSIVE CARE LLC
Practice address
2111 E Highland Ave
Suite B425
Phoenix, AZ 85016-4741
Phone
(602) 770-5970
Fax
(888) 633-0248
NPI assigned
Sep 27, 2012
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Chris Pfund
Title
Co-Owner
Phone
(602) 795-9705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2111 E Highland Ave
Suite B425
Phoenix, AZ 85016-4741

Mailing address

2111 E Highland Ave
Suite B425
Phoenix, AZ 85016-4741
Phone (602) 770-5970

Other identifiers 1

IdentifierTypeStateIssuer
755066MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1508117797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E HIGHLAND AVE",
            "address_2": "SUITE B425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164741",
            "telephone_number": "602-770-5970",
            "fax_number": "888-633-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E HIGHLAND AVE",
            "address_2": "SUITE B425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164741",
            "telephone_number": "602-770-5970",
            "fax_number": "888-633-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "PFUND",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-795-9705"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755066",
            "state": "AZ"
        }
    ],
    "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 Mar 14, 2013; 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.