Gila Internal Medicine & Geriatric P C

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

11483 Issued in AZ

Legal business name

GILA INTERNAL MEDICINE & GERIATRIC P C

Practice address

2727 W Baseline Rd.
Suite 8
Tempe, AZ 85283-1068

Phone

(602) 323-0904

Fax

(602) 243-7616

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Aureliano E Cifuentes, MDNPI 1679565519

Title

MD/Owner

Phone

(602) 323-0904

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 10

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

• Aureliano E Cifuentes, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tempe, AZ
  • NPI 1679565519
  Medicare reassignment Care Compare group NPD Authorized official
• Enrique M Cifuentes, Jr., MD

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1598804510
  Medicare reassignment Care Compare group NPD
• Boris Schwartz, N.P.

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1679601603
  Medicare reassignment Care Compare group NPD
• Lorena A Conde, PA-C

  • Medical Physician Assistant
  • Tempe, AZ
  • NPI 1124397278
  Medicare reassignment Care Compare group
• Joseph M Gutierrez, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1538143300
  Medicare reassignment NPD
• Henry M Bolin, PA-C

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1164932299
  Medicare reassignment
• Derek B Carpenter, PA-C

  • Medical Physician Assistant
  • Casa Grande, AZ
  • NPI 1114320959
  Medicare reassignment
• Sandra E Saenz Rivera, PA

  • Physician Assistant
  • Tempe, AZ
  • NPI 1336827443
  Medicare reassignment
• Ephraim Temple, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1679083802
  Medicare reassignment
• Jessie F Miles, PA-C

  • Medical Physician Assistant
  • Goodyear, AZ
  • NPI 1619983350
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1609921378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W. BASELINE RD.",
            "address_2": "SUITE 8",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831068",
            "telephone_number": "602-323-0904",
            "fax_number": "602-243-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD.",
            "address_2": "SUITE 8",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831068",
            "telephone_number": "602-323-0904",
            "fax_number": "602-243-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4616 N 51st Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850311720",
            "country_code": "US",
            "telephone_number": "602-362-5711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850403046",
            "country_code": "US",
            "telephone_number": "602-276-8577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1742 W Bethany Home Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152509",
            "country_code": "US",
            "telephone_number": "602-675-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GILA INTERNAL MEDICINE & GERIATRIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "CIFUENTES",
        "authorized_official_first_name": "AURELIANO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "602-323-0904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "11483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z8080",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ARIZONA",
            "identifier": "AZ0714680",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418039",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0400655",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "98014189",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2154623",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6569834003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "750125",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "99545",
            "identifier": "PACIFICARE",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lynne Wilkins Giberson
• Jennifer Gibler, P.A.-C
• Megan Gibson, LM
• Paul K. Gibson, MC, LMFT
• George Scott Gieszl Jr., MD
• Ann Rae Gilan, M.S. SLP
• Sally Anne Gilbert, PT
• Mary Elizabeth Gill, LMSW
• Shelby Elise Gillaird, MED, BCBA, LBA
• Andrea Gilligan

• Exclusive Provider Organization in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.