CHP Care, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CHP CARE, PC

Practice address

25812 N 67TH Dr
Peoria, AZ 85383-7135

Phone

(602) 332-3363

NPI assigned

May 10, 2016

Last updated

Jul 18, 2022By 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

Marc Leib, M.D.NPI 1619323680

Title

Ceo

Phone

(602) 708-8455

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• CHP Care, PC

  • Adult Medicine Physician
  • Phoenix, AZ
  • NPI 1942171988

  O20160809000508

  Same enrollment

Tax ID family

CHP Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CHP Care, PC

  • Adult Medicine Physician
  • Phoenix, AZ
  • NPI 1942171988
  NPD tax ID

Locations

Practitioners 8

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.

• Maria J Bustamante, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1578735635
  Medicare reassignment NPD
• Sarah Dale, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1861215881
  Medicare reassignment NPD
• Cecilia Espinoza Hallare, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1588137855
  Medicare reassignment NPD
• Ayin D. Hernandez, FNP-C

  • Nurse Practitioner
  • Peoria, AZ
  • NPI 1619433489
  Medicare reassignment NPD
• Marc Leib

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1619323680
  Authorized official Same address or phone
• Lourdes Colin, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1033457023
  NPD (past)
• Laura Sandt, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1104488253
  NPD (past)
• Suzanne Roberta Weinrich, NP-C

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1053881862

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1821444894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25812 N 67TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837135",
            "telephone_number": "602-332-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25812 N 67TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837135",
            "telephone_number": "602-332-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHP CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "LEIB",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-708-8455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youjin Choi, PHARM.D
• Choice Business Strategies LLC (Choice Wellness)
• Cholla Hills Family Dentistry LLC (Cholla Hills Family Dentistry)
• Mariah Cholley, PA-C
• Shahinara S Choudhury, MD
• Chris Brooker DO PLLC (Halcyon Health & Wellness)
• Christine a. Lemon PLLC
• Kristi A Chua, RN
• Ashley Patricia Chung, N.D.
• Cigna Healthcare of Arizona, Inc (EVERNORTH Care Group Sun City Multi-Specialty Center)

• Multi-Specialty Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.