Southwest Internal Medicine Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

14478 Issued in AZ

Legal business name

SOUTHWEST INTERNAL MEDICINE GROUP

Practice address

15255 N 40TH St
Suite 127
Phoenix, AZ 85032-4624

Phone

(602) 253-0855

Fax

(602) 424-6986

NPI assigned

May 30, 2007

Last updated

Sep 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Castillo

Title

Regional Manager

Phone

(702) 480-2550

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693612800000",
    "number": "1821299462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST",
            "address_2": "SUITE 127",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324624",
            "telephone_number": "602-253-0855",
            "fax_number": "602-424-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST",
            "address_2": "SUITE 127",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324624",
            "telephone_number": "602-253-0855",
            "fax_number": "602-424-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "702-480-2550"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "14478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242165",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Human Development, Incorporated
• Southwest in Home Services
• Southwest Independence, L.L.C.
• Southwest Institute for Sleep
• Southwest Integrated Health LLC
• Southwest Kidney Davita Dialysis Partners LLC (Phoenix Dialysis Center)
• Southwest Kidney Davita Dialysis Partners LLC (Estrella Dialysis Center)
• Southwest Kidney Davita Dialysis Partners LLC (Maryvale Dialysis Center)
• Southwest Kidney Davita Dialysis Partners LLC (Evergreen Park Dialysis)
• Southwest Kidney Davita Dialysis Partners, LLC (Phoenix Home Dialysis)

• Primary Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; 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.