Dr C'S Weight Loss and Anti-Aging Medicine, PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

42048 Issued in AZ

Legal business name

DR C'S WEIGHT LOSS AND ANTI-AGING MEDICINE, PC

Practice address

2737 W Baseline Rd
Suite 23
Tempe, AZ 85283-1051

Phone

(480) 245-6677

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Enrique M Cifuentes, MD

Title

Medical Director

Phone

(480) 245-6677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1508306739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W BASELINE RD",
            "address_2": "SUITE 23",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831051",
            "telephone_number": "480-245-6677",
            "fax_number": "480-404-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 W BASELINE RD",
            "address_2": "SUITE 23",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831051",
            "telephone_number": "480-245-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR C'S WEIGHT LOSS AND ANTI-AGING MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "CIFUENTES",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-245-6677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "42048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462271",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.