Health Net of Arizona, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

HEALTH NET OF ARIZONA, INC.

Practice address

1230 W Washington St
Mail Stop: Az-900-04-24
Tempe, AZ 85281-1245

Phone

(602) 794-1400

Fax

(610) 768-0288

NPI assigned

Jan 16, 2008

Organization subpart

Yes

Parent organization

HEALTH NET, INC.As reported in NPPES

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

Authorized official

Name

Mr. Chuck M. Sowers

Title

President, Health Net of Arizona

Phone

(602) 794-1512

Specialties & licenses 1

Addresses

Part of

Prism Network

Locations

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1679759989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W WASHINGTON ST",
            "address_2": "MAIL STOP: AZ-900-04-24",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852811245",
            "telephone_number": "602-794-1400",
            "fax_number": "610-768-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W WASHINGTON ST",
            "address_2": "MAIL STOP: AZ-900-04-24",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852811245",
            "telephone_number": "602-794-1400",
            "fax_number": "610-768-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH NET OF ARIZONA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH NET, INC.",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "SOWERS",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT, HEALTH NET OF ARIZONA",
        "authorized_official_telephone_number": "602-794-1512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.