Clinica Familiar Bella Vista

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32113 Issued in AZ

Legal business name

CLINICA FAMILIAR BELLA VISTA

Practice address

515 W Buckeye Rd
Ste 303
Phoenix, AZ 85003-2647

Phone

(602) 423-8956

NPI assigned

Jul 10, 2007

Last updated

Jul 15, 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

Dr. Will Innocent, M.D

Title

Owner

Phone

(602) 423-8961

Specialties & licenses 1

Addresses

Locations

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.

• Katherine Hannah Leary, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1871671792
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1962600171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10176",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180176",
            "telephone_number": "602-423-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD",
            "address_2": "STE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032647",
            "telephone_number": "602-423-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIAR BELLA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "INNOCENT",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-423-8961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Joseph Cline, PA-C
• Walter David Cline, O.D.
• Patricia Ann Clinger, R.N.
• Clinic Care LLC (Advanced Urgent Care)
• Clinica del Socorro PLLC
• Clinica Familiar Mexicana I LLC
• Clinica Hispana of West Valley
• Clinica la Familia, PC
• Clinica Latina Healthcare Group LLC
• Clinica Medica del Sol, LLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, 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 Jul 15, 2015; 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.