Organization Active NPI

Hope Family Clinic Inc

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1891922605
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34090 Issued in AZ
Legal business name
HOPE FAMILY CLINIC INC
Practice address
926 E McDowell Rd
Suite 125
Phoenix, AZ 85006-2503
Phone
(480) 897-1175
Fax
(480) 907-5014
NPI assigned
Jun 18, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mr. Jorge Decadenas
Title
Administrator
Phone
(480) 897-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34090 AZ Primary

Addresses

Primary practice location

926 E McDowell Rd
Suite 125
Phoenix, AZ 85006-2503

Mailing address

926 E McDowell Rd
Suite 125
Phoenix, AZ 85006-2503
Phone (480) 897-1175

National Provider Directory

National Provider Directory

Locations

926 E McDowell Rd
Ste 125
Phoenix, AZ 85006
Phone (602) 254-3900

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": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1891922605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062503",
            "telephone_number": "480-897-1175",
            "fax_number": "480-907-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062503",
            "telephone_number": "480-897-1175",
            "fax_number": "480-907-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "DECADENAS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-897-1175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.