Active NPI
Cesar F. Climaco, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
National Provider Identifier
1548345952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 15815
- Practice address
- 2345 E Thomas Rd
Suite # 420
Phoenix, AZ 85016-7848 - Phone
- (602) 955-5700
- Fax
- (602) 955-5701
- NPI assigned
- Oct 25, 2006
- Last updated
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 15815 | AZ | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 15815 | AZ | Primary |
Addresses
Primary practice location
2345 E Thomas Rd
Suite # 420
Phoenix, AZ 85016-7848
Mailing address
2345 E Thomas Rd
Suite # 420
Phoenix, AZ 85016-7848
Phone (602) 955-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276312 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Mi Mobile Doctors, P.C. | Geriatric Medicine | Past | Accepting new patients |
| Lake Mi Mobile Doctors, P.C. | Geriatric Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mobile Doctors of Phoenix
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1851612329
-
dba Mobile Doctors of St. Louis
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1992057566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1548345952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 E THOMAS RD",
"address_2": "SUITE # 420",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167848",
"telephone_number": "602-955-5700",
"fax_number": "602-955-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 E THOMAS RD",
"address_2": "SUITE # 420",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167848",
"telephone_number": "602-955-5700",
"fax_number": "602-955-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIMACO",
"first_name": "CESAR",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AZ",
"license": "15815",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "AZ",
"license": "15815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276312",
"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 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.