Phoenix West Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30062 Issued in AZ

Legal business name

PHOENIX WEST INTERNAL MEDICINE LLC

Practice address

4150 N 108TH Ave
Ste 142
Phoenix, AZ 85037-5467

Phone

(623) 322-1145

Fax

(623) 466-9552

NPI assigned

Jul 2, 2006

Last updated

Mar 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernando Raul De Castro, M.D.

Title

Owner

Phone

(623) 322-1145

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBGCAA

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fernando Raul Domingo De Castro, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1184617979
  Medicare reassignment NPD
• Katherine Elizabeth Gross, M.D.

  • Pulmonary Disease Physician
  • Sun City West, AZ
  • NPI 1336584184

  Internal Medicine

  Medicare reassignment NPD
• Stefany Sheree Irizarry

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1679174262
  Medicare reassignment NPD
• Silvia Y Sanchez Cardenas, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295299402
  Medicare reassignment NPD
• Antonio T Uvas, MD

  • Family Medicine Physician
  • Sun City West, AZ
  • NPI 1730109745
  Medicare reassignment NPD
• Sarah Ann Gerber, M.M.S., P.A.-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1689124745
  Medicare reassignment

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1609805530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 W CAMELBACK RD",
            "address_2": "STE 130 PMB186",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053104",
            "telephone_number": "623-322-1145",
            "fax_number": "623-466-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N 108TH AVE",
            "address_2": "STE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375467",
            "telephone_number": "623-322-1145",
            "fax_number": "623-466-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WEST INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "DE CASTRO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-322-1145",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648735",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Veterns Medical Center
• Phoenix Wellness and Rejuvenation LLC
• Phoenix Wellness Center
• Phoenix Wellness Center LLC
• Phoenix West Dental Partners LLC (Risas Dental and Braces)
• Michai Phonthibsvads, PT, DPT
• Samantha May Phou, MD
• Jacob Phouthavong-Murphy, DO
• Chia-Ling Phuah, MD
• Ellen Catherine Phungrasamee, RN

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.