Organization Active NPI

Sunshine Medical Care Corp

  • Clinic/Center
  • Peoria, AZ
National Provider Identifier
1972811404
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUNSHINE MEDICAL CARE CORP
Practice address
15943 N 77TH Ave
Peoria, AZ 85382-3867
Phone
(207) 659-3322
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Ahmed R Abouzeid, MD
Title
Owner
Phone
(207) 659-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AZ Primary

Addresses

Primary practice location

15943 N 77TH Ave
Peoria, AZ 85382-3867

Mailing address

15943 N 77TH Ave
Peoria, AZ 85382-3867
Phone (207) 659-3322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1972811404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15943 N 77TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823867",
            "telephone_number": "207-659-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15943 N 77TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823867",
            "telephone_number": "207-659-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "ABOUZEID",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-659-3322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.