Organization Active NPI

Hermosillo Health LLC

  • Primary Care Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1841983491
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HERMOSILLO HEALTH LLC
Practice address
3744 S Rome St
Gilbert, AZ 85297-7350
Phone
(480) 224-9500
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Cynthia Joann Hermosillo, FNP-C, APRNNPI 1619612645
Title
Family Nurse Practitioner
Phone
(480) 299-3761

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Skilled Nursing Facility 314000000X NU

Addresses

Primary practice location

3744 S Rome St
Gilbert, AZ 85297-7350

Mailing address

1124 E San Carlos Way
Chandler, AZ 85249-4712
Phone (480) 299-3761

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1841983491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E SAN CARLOS WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494712",
            "telephone_number": "480-299-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977350",
            "telephone_number": "480-224-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMOSILLO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "HERMOSILLO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-299-3761",
        "authorized_official_credential": "FNP-C, APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.