Humberto Enrique De la Torre Hogan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1505 E Sunnyslope LN
Phoenix, AZ 85020-2728

Phone

(602) 628-4015

NPI assigned

Jul 14, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1649161027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E SUNNYSLOPE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202728",
            "telephone_number": "602-628-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E SUNNYSLOPE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202728",
            "telephone_number": "602-628-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE HOGAN",
        "first_name": "HUMBERTO",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna De la Huerta
• Mark Charles De la Lama, PA-C
• Dwayne Paul De la Pena, LMSW
• Charles C De la Riva Jr., NP-C
• Diana Belinda De la Rosa, LPC
• Martha L De la Torre, LAC
• Rodrigo De la Torre
• Ana Alicia De la Vega
• Jose De Leon, RPH
• Ryan Andrew De Leon, MD

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.