Sentinel Healthcare Az

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SENTINEL HEALTHCARE AZ

Practice address

22956 S 221St PL
Queen Creek, AZ 85142-8162

Phone

(602) 424-7967

Fax

(602) 900-1055

NPI assigned

Oct 16, 2018

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SENTINEL HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Jorge Humberto Sanchez

Title

Physician/Owner

Phone

(480) 695-8125

Specialties & licenses 1

Addresses

Part of

Sentinel Healthcare Corp

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1619443751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13308",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852163308",
            "telephone_number": "480-335-1865",
            "fax_number": "914-663-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22956 S 221ST PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428162",
            "telephone_number": "602-424-7967",
            "fax_number": "602-900-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL HEALTHCARE AZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTINEL HEALTHCARE CORPORATION",
        "enumeration_date": "2018-10-16",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-19",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "HUMBERTO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "480-695-8125"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Queen Creek, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.