NPIMap

Organization Active NPI

Sunset Medical Care PLLC

  • Adult Medicine Physician
  • Glendale, AZ
National Provider Identifier
1902301096
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
AP10016 Issued in AZ
Legal business name
SUNSET MEDICAL CARE PLLC
Practice address
5145 W Thunderbird Rd
Glendale, AZ 85306-4836
Phone
(480) 653-2341
Fax
(480) 452-1335
NPI assigned
Mar 29, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Ms. Jodi Ostrom, FNP-C
Title
Owner
Phone
(602) 509-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X AP10016 AZ Primary

Addresses

Primary practice location

5145 W Thunderbird Rd
Glendale, AZ 85306-4836

Mailing address

PO Box 406
Laveen, AZ 85339-1798
Phone (602) 509-9177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1902301096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391798",
            "telephone_number": "602-509-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064836",
            "telephone_number": "480-653-2341",
            "fax_number": "480-452-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-509-9177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "AP10016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.