NPIMap

Organization Active NPI

Sunset Community Health Center

  • Pediatrics Physician
  • San Luis, AZ
National Provider Identifier
1548693286
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OTC5043 Issued in AZ
Legal business name
SUNSET COMMUNITY HEALTH CENTER
Practice address
1245 N Main Street
San Luis, AZ 85349-2017
Phone
(928) 819-8999
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Mrs. Ada E Carlos
Title
Accounts Receivable Supervisor
Phone
(928) 373-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X OTC5043 AZ Primary

Addresses

Primary practice location

1245 N Main Street
San Luis, AZ 85349-2017

Mailing address

2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 819-8999

Other identifiers 1

IdentifierTypeStateIssuer
433061MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Sunset Community Health Ctr20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1548693286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N MAIN STREET",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853492017",
            "telephone_number": "928-819-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SUPERVISOR",
        "authorized_official_telephone_number": "928-373-6181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "OTC5043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433061",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.