Active NPI
Daniela V Bulubenchi
- Skilled Nursing Facility
- Phoenix, AZ
National Provider Identifier
1558945782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- AL8827H
- Practice address
- 37509 N 16TH St
Phoenix, AZ 85086-9363 - Phone
- (623) 734-5905
- Fax
- (623) 691-8106
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | AL8827H | AZ | Primary |
Addresses
Primary practice location
37509 N 16TH St
Phoenix, AZ 85086-9363
Mailing address
1808 E Circle Mountain Rd
New River, AZ 85087-7592
Phone (623) 734-5905
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-1346754 | Other | AZ | ASSISTED LIVING FACILITY |
| 46-1346754 | Medicaid | AZ | |
| 461346754 | Other | AZ | SKILLED NURSING FACILITY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL8827H | AZ | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1558945782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 E CIRCLE MOUNTAIN RD",
"city": "NEW RIVER",
"state": "AZ",
"postal_code": "850877592",
"telephone_number": "623-734-5905",
"fax_number": "623-691-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37509 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850869363",
"telephone_number": "623-734-5905",
"fax_number": "623-691-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULUBENCHI",
"first_name": "DANIELA",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AZ",
"license": "AL8827H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSISTED LIVING FACILITY",
"identifier": "46-1346754",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46-1346754",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SKILLED NURSING FACILITY",
"identifier": "461346754",
"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 May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.