Az Community Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AZ COMMUNITY CARE

Practice address

1225 Hancock Rd Ste 203
Bullhead City, AZ 86442-5962

Phone

(928) 224-0064

Fax

(480) 842-8608

NPI assigned

Jul 11, 2022

Organization subpart

No

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

Authorized official

Name

Brianda Serrano

Title

Coo

Phone

(928) 224-0064

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1760116487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 HANCOCK RD STE 133",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425142",
            "telephone_number": "928-224-0064",
            "fax_number": "480-842-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD STE 203",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425962",
            "telephone_number": "928-224-0064",
            "fax_number": "480-842-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "BRIANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "928-224-0064"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "b.serrano@phoenixcancer.drchronodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1225 Hancock Rd Ste 203",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864425962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Assured Medical Supply, Inc.
• Assured Medical Supply, Inc.
• Astrum Hearing Solutions
• Nancy Atchue
• Summer Charise Aymar, DO
• Bashir A Azher, MD
• Freeha Afshin Azher, MD
• Abdul Aziz, MD
• Dwaynie Bacon Jr.
• Paige Theresa Bafus, DDS

• Internal Medicine Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.