Individual provider Active NPI

Karl H Espinosa, M.D.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1689650707
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20402 Issued in AZ
Practice address
1950 S Country Club Dr
Mesa, AZ 85210-6008
Phone
(480) 969-1446
Fax
(480) 969-9105
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20402 AZ Primary

Addresses

Primary practice location

1950 S Country Club Dr
Mesa, AZ 85210-6008

Mailing address

1950 S Country Club Dr
Mesa, AZ 85210-6008
Phone (480) 969-1446

Other identifiers 2

IdentifierTypeStateIssuer
AZ0836010OtherAZBCBS AZ
1Z7371OtherAZHEALTHNET

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000268 AZ Practitioner - Family Practice 8123158128 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20402AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC CurrentSince Sep 8, 2015 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 8, 2015 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Sep 8, 2015 Accepting new patients
Scottsdale Healthcare Corp Family Medicine CurrentSince Sep 8, 2015 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

450 E Rio Salado Pkwy
Tempe, AZ 85281
Phone (480) 882-7380

450 E Rio Salado Pkwy
Bldg C
Tempe, AZ 85281
Phone (480) 882-7380

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1689650707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106008",
            "telephone_number": "480-969-1446",
            "fax_number": "480-969-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106008",
            "telephone_number": "480-969-1446",
            "fax_number": "480-969-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "KARL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "20402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "AZ0836010",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7371",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.