| American Family Medicine Llc | |
|
1514 W Thomas Rd Phoenix AZ 85015-6101 | |
| (602) 283-5732 | |
| (602) 314-4579 |
| Full Name | American Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1514 W Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Alejandro E Lopez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6022835732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Family Medicine Llc 1514 W Thomas Rd Phoenix AZ 85015-6101 Ph: (602) 283-5732 | American Family Medicine Llc 1514 W Thomas Rd Phoenix AZ 85015-6101 Ph: (602) 283-5732 |
| NPI Number | 1477908085 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5092007427 |
|---|---|
| Medicare Enrollment ID | O20160706000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477908085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Gustavo A Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023247202 PECOS PAC ID: 0941355630 Enrollment ID: I20090901000734 |
| Provider Name | Enrique M Cifuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598804510 PECOS PAC ID: 9133267321 Enrollment ID: I20091109000389 |
| Provider Name | Aureliano E Cifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679565519 PECOS PAC ID: 3971649633 Enrollment ID: I20100511000535 |
| Provider Name | Siamak Rassadi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457500613 PECOS PAC ID: 0042462814 Enrollment ID: I20121203000042 |
| Provider Name | Alejandro E Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699021337 PECOS PAC ID: 9234360736 Enrollment ID: I20140326001848 |
| Provider Name | Juan Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326477134 PECOS PAC ID: 6305166398 Enrollment ID: I20150514001163 |
| Provider Name | Nubia Lomeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619328374 PECOS PAC ID: 3971898875 Enrollment ID: I20160816002775 |
| Provider Name | Carmen Duarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609379981 PECOS PAC ID: 6901160886 Enrollment ID: I20180430001833 |
| Provider Name | Monica C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952784605 PECOS PAC ID: 8426360264 Enrollment ID: I20180710003610 |
| Provider Name | Patricia I Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902304801 PECOS PAC ID: 3779848932 Enrollment ID: I20180711003677 |
| Provider Name | Flor M Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205392511 PECOS PAC ID: 3577893858 Enrollment ID: I20190930002056 |
| Provider Name | Victoria L Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265073720 PECOS PAC ID: 0042643579 Enrollment ID: I20191213001262 |
| Provider Name | Janoi Gonzalez Camejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902364730 PECOS PAC ID: 8820323207 Enrollment ID: I20200610001857 |
| Provider Name | Kevin James Marston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720688443 PECOS PAC ID: 2264847953 Enrollment ID: I20210210000602 |
| Provider Name | Ahecio A Labrada Izquierdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083215735 PECOS PAC ID: 7618385550 Enrollment ID: I20210809002226 |
| Provider Name | Stephanie Salas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912789900 PECOS PAC ID: 1759727621 Enrollment ID: I20240313003897 |
| Provider Name | Yeleysi Male-sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821852104 PECOS PAC ID: 0840639027 Enrollment ID: I20240420000230 |
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