Phoenician Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHOENICIAN MEDICAL CENTER, INC

Doing business as

East Valley Family Medical and 21st Century Family Medicine
Phoenician Primary Care

Practice address

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224-5941

Phone

(480) 963-1853

Fax

(480) 726-0695

NPI assigned

Sep 22, 2006

Last updated

Sep 29, 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

Paramvir S Tuli

Title

C.E.O.

Phone

(480) 776-5489

Specialties & licenses 3

Addresses

Other names 2

• East Valley Family Medical and 21st Century Family Medicine Doing business as
• Phoenician Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Verde Community Healthcare LLC

  • Rural Health Clinic/Center
  • Cottonwood, AZ
  • NPI 1609479898

  Member Of

  NPD member

Locations (25 of 33)

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Verde Community Healthcare LLC

  • Rural Health Clinic/Center
  • Cottonwood, AZ
  • NPI 1609479898

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 95

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.

• Ruben Aguilera, MD

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1568463792
  Medicare reassignment Care Compare group NPD
• Mathew Benjamin, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1699891614
  Medicare reassignment Care Compare group NPD
• Berenice Jeacel Espinoza, FNP, RN

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1063143790
  Medicare reassignment Care Compare group NPD
• Marie Paul Gatsimbanyi

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1598514986
  Medicare reassignment Care Compare group NPD
• Aimee Beth Goldstein, PH.D.

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1649417908
  Medicare reassignment Care Compare group NPD
• Thomas J Handeguand, DO

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1548347305
  Medicare reassignment Care Compare group NPD
• Cathleen M Jochim-Malapanes, FNP-C

  • Nurse Practitioner
  • Cottonwood, AZ
  • NPI 1437229044
  Medicare reassignment Care Compare group NPD
• Mark Roy Kent, FNP-C

  • Family Nurse Practitioner
  • San Tan Valley, AZ
  • NPI 1700399839
  Medicare reassignment Care Compare group NPD
• Lisa Khalil, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1194189324
  Medicare reassignment Care Compare group NPD
• Kathyayini J Konuru, MD

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1124213756
  Medicare reassignment Care Compare group NPD
• Manju Krishna Pillai, MD

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1528031648
  Medicare reassignment Care Compare group NPD
• Kenneth Merchant, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1669621546
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1891895637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD",
            "address_2": "STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245941",
            "telephone_number": "480-963-1853",
            "fax_number": "480-726-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD",
            "address_2": "STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245941",
            "telephone_number": "480-963-1853",
            "fax_number": "480-726-0695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13620 N Saguaro Blvd Ste 90",
            "address_purpose": "LOCATION",
            "city": "Fountain Hills",
            "state": "AZ",
            "postal_code": "852688552",
            "country_code": "US",
            "telephone_number": "480-963-1953",
            "fax_number": "480-963-1854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 E Cottonwood Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222557",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "fax_number": "480-963-1854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3336 E Chandler Heights Rd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852984263",
            "country_code": "US",
            "telephone_number": "480-963-1953",
            "fax_number": "480-963-1854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 N Greenfield Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345044",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6677 W Thunderbird Rd Ste C142",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853063760",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10720 E Southern Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093812",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5520 E Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852058793",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 N Country Club Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852015700",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13943 N 91st Ave Bldg E",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853813629",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16515 S 40th St Ste 139",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850480560",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 N 75th Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850351200",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Buckeye Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850032650",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10440 E Riggs Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Sun Lakes",
            "state": "AZ",
            "postal_code": "852487755",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2228 W Northern Ave Ste B202",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850219351",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENICIAN MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "TULI",
        "authorized_official_first_name": "PARAMVIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "480-776-5489"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Valley Family Medical and 21st Century Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenician Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.