Southwest Diabetes Center PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHWEST DIABETES CENTER PLLC

Practice address

3800 W 24TH St
1
Yuma, AZ 85364-6298

Phone

(928) 344-6450

Fax

(928) 344-6480

NPI assigned

Nov 1, 2006

Last updated

Aug 15, 2013By 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

Sergio Penaherrera, MDNPI 1538258744

Title

Owner

Phone

(928) 344-6450

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• SWDC Walk-in Clinic

  • Internal Medicine Physician
  • Yuma, AZ
  • NPI 1568749430
  NPPES parent name

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.

• Sergio Penaherrera, MD

  • Internal Medicine Physician
  • Yuma, AZ
  • NPI 1538258744
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1881772317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853660590",
            "telephone_number": "928-344-6450",
            "fax_number": "928-344-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 24TH ST",
            "address_2": "1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646298",
            "telephone_number": "928-344-6450",
            "fax_number": "928-344-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIABETES CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "PENAHERRERA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-344-6450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167090003",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sorensen & Thompson Dental LLC (Yuma Endodontics)
• Howard J Sorensen II, D.D.S, MS
• Jose Alfredo Soto, DMD
• South Frontage Road Dental PLLC (Gila Ridge Dental -Foothills)
• Southwest Counseling Services LLC
• Southwest Diabetes Thyroid and Endocrine Care
• Southwest Emergency Physicians, PLLC
• Southwest Endocrinology Associates PLLC (Dr. Manju Schorr)
• Southwest Heart and Vascular Care, LTD.
• Southwest Oncology Centers-Yuma LLC (Yuma Oncology Center)

• Internal Medicine Physician in Yuma, AZ
• Providers in Yuma, 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 Aug 15, 2013; 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.