Organization Active NPI

Southwest Fertility Center

  • Ambulatory Fertility Facility
  • Phoenix, AZ
National Provider Identifier
1720226889
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
License
11933 Issued in AZ
Legal business name
SOUTHWEST FERTILITY CENTER
Practice address
3125 N 32ND St
Suite 200
Phoenix, AZ 85018-6281
Phone
(602) 956-7481
Fax
(602) 956-7591
NPI assigned
Jan 28, 2009
Last updated
Jan 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Sujatha Gunnala, M.D.NPI 1689667032
Title
Medical Director
Phone
(602) 956-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X 11933 AZ Primary

Addresses

Primary practice location

3125 N 32ND St
Suite 200
Phoenix, AZ 85018-6281

Mailing address

3125 N 32ND St
Suite 200
Phoenix, AZ 85018-6281
Phone (602) 956-7481

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0675531Southwest Fertility Center LTD3125 N 32ND St Ste 200, Phoenix, AZ 85018AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

3125 N 32nd St
Ste 200
Phoenix, AZ 85018
Phone (602) 956-7481

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1720226889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-7481",
            "fax_number": "602-956-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-7481",
            "fax_number": "602-956-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "GUNNALA",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-956-7481",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "AZ",
            "license": "11933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.