Sun City West Medical Associates

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25498 Issued in AZ

Legal business name

SUN CITY WEST MEDICAL ASSOCIATES

Doing business as

Grand Medical Associates

Practice address

14674 W Mountain View Blvd
Suite 200
Surprise, AZ 85374-2706

Phone

(623) 544-6860

NPI assigned

Mar 18, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Grand Medical Associates Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neena K Uppal, MD

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1124133020
  NPD

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1528485307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD",
            "address_2": "SUITE 200",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742706",
            "telephone_number": "623-544-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY WEST MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-03-18",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": "25498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preston Todd Summerhays, OD
• Christopher Michael Summers, PHARMD
• Maria Eleni Sumski, RN
• Sun City Area Interfaith Services, Inc (Benevilla)
• Sun City Mobile Diagnostic LLC
• Sun City West Medical Associates LLC
• Sun City West Surgery Center, LLC (Desert Mirage Surgery Center)
• Sun Health Corporation (Sun Health Surprise Urgent Care)
• Sun Health Services
• Sun Health Services

• Non-Pharmacy Dispensing Site in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Non-Pharmacy Dispensing Site in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.