Southwest Primary Care LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43225 Issued in AZ

Legal business name

SOUTHWEST PRIMARY CARE LTD

Practice address

3200 N Dobson Rd
Suite F-5
Chandler, AZ 85224-9601

Phone

(630) 329-9816

NPI assigned

Feb 6, 2015

Last updated

Feb 6, 2015By 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

Manu Lonial, M.D.NPI 1063553543

Title

President

Phone

(630) 329-9816

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Manu Lonial, M.D.

  • Family Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1063553543
  Medicare reassignment NPD Authorized official
• Brittney Mahnke, ACNP-AG

  • Gerontology Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1265091276
  Medicare reassignment NPD

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1942691399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 E PHELPS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852549223",
            "telephone_number": "630-329-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD",
            "address_2": "SUITE F-5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249601",
            "telephone_number": "630-329-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PRIMARY CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "LONIAL",
        "authorized_official_first_name": "MANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-329-9816",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "43225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "19770524",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Kidney Davita Dialysis Partners LLC (Ocotillo Dialysis)
• Southwest Lactation Services
• Southwest Network
• Southwest Network
• Southwest Network, Inc. (Southwest Network)
• Southwestern Children's Health Services, Inc (Oasis Behavioral Health)
• Southwestern Children's Health Services, Inc. (Oasis Behavioral Health)
• Southwestern Children's Health Services, Inc. (Oasis Behavioral Health)
• Southwestern Pediatrics PLLC
• Devin R Southworth, PMHNP-BC

• 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 Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.