NPIMap

Organization Active NPI

Latino Care, LLC

Doing business as Clinica Medica Hispana

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1982031795
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20754 Issued in AZ
Legal business name
LATINO CARE, LLC
Doing business as
Clinica Medica Hispana
Practice address
3140 N 35TH Ave
Suite 7
Phoenix, AZ 85017-5270
Phone
(602) 353-6656
Fax
(602) 442-2065
NPI assigned
Oct 11, 2013
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Francisco J Hernandez, MDNPI 1740344183
Title
Owner
Phone
(602) 353-6656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 20754 AZ Primary

Addresses

Primary practice location

3140 N 35TH Ave
Suite 7
Phoenix, AZ 85017-5270

Mailing address

3140 N 35TH Ave
Suite 7
Phoenix, AZ 85017-5270
Phone (602) 353-6656

Other names 1

  • Clinica Medica Hispana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428000523 AZ Part B Supplier - Clinic/Group Practice 0648403618 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Phoenix, AZ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2084554Clinica Medica Hispana3140 N 35TH Ave Ste 7, Phoenix, AZ 85017Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1982031795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 N 35TH AVE",
            "address_2": "SUITE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175270",
            "telephone_number": "602-353-6656",
            "fax_number": "602-442-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 N 35TH AVE",
            "address_2": "SUITE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175270",
            "telephone_number": "602-353-6656",
            "fax_number": "602-442-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-353-6656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "20754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Hispana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.