Individual provider Active NPI

Alina Stanca, FNP

  • Family Nurse Practitioner
  • El Mirage, AZ
National Provider Identifier
1720381163
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
109734 Issued in AZ
Practice address
12428 W Thunderbird Rd
El Mirage Family Health Center
El Mirage, AZ 85335-3113
Phone
(623) 344-6500
Fax
(623) 344-6501
NPI assigned
Dec 7, 2010
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 109734 AZ Primary

Addresses

Primary practice location

12428 W Thunderbird Rd
El Mirage Family Health Center
El Mirage, AZ 85335-3113

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Other identifiers 1

IdentifierTypeStateIssuer
576748MedicaidAZ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000633 AZ Practitioner - Nurse Practitioner 3173712395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Immunology Specialists LLCGroup PAC ID 7214260538, 4 clinicians

Practice addresses (Care Compare)

13575 W Indian School Rd
Suite 200
Litchfield Park, AZ 85340-4906
Phone (623) 512-4310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109734AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Immunology Specialists, LLC CurrentSince May 1, 2019 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

17560 N 75th Ave
Ste D240
Glendale, AZ 85308

5940 W Union Hills Dr
Ste A120
Glendale, AZ 85308
Phone (623) 512-4310

5658 Highway 260
Ste 24
Lakeside, AZ 85929
Phone (623) 512-4310

13575 W Indian School Rd
Ste 200
Litchfield Pk, AZ 85340
Phone (623) 512-4310

34406 N 27th Dr
Ste 172
Phoenix, AZ 85085
Phone (623) 512-4310

1155 W Rio Salado Pkwy
Ste B102
Tempe, AZ 85281
Phone (623) 512-4310

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1720381163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12428 W THUNDERBIRD RD",
            "address_2": "EL MIRAGE FAMILY HEALTH CENTER",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353113",
            "telephone_number": "623-344-6500",
            "fax_number": "623-344-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCA",
        "first_name": "ALINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "109734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

Verify at the official NPI Registry.