Clinica La Familia, Pc | |
13402 N 32nd St Phoenix AZ 85032-6047 | |
(602) 569-3999 | |
(602) 569-3887 |
Full Name | Clinica La Familia, Pc |
---|---|
Speciality | Internal Medicine |
Location | 13402 N 32nd St, Phoenix, Arizona |
Authorized Official Name and Position | Ricardo G. Celaya (PRESIDENT) |
Authorized Official Contact | 6025693999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clinica La Familia, Pc 1533 E Willetta St Phoenix AZ 85006-2935 Ph: (602) 569-3999 | Clinica La Familia, Pc 13402 N 32nd St Phoenix AZ 85032-6047 Ph: (602) 569-3999 |
NPI Number | 1780668921 |
---|---|
Provider Enumeration Date | 12/01/2005 |
Last Update Date | 08/03/2023 |
Medicare PECOS PAC ID | 4082694781 |
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Medicare Enrollment ID | O20040722001287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780668921 | NPI | - | NPPES |
325772 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 32998 (Arizona) | Secondary |
207R00000X | Internal Medicine | 29615 (Arizona) | Primary |
Provider Name | Ricardo G Celaya |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861476095 PECOS PAC ID: 3072593771 Enrollment ID: I20051205000851 |
Provider Name | Gloria A Estrada |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932171915 PECOS PAC ID: 5597662684 Enrollment ID: I20051209000510 |
Provider Name | Freddy L Montenegro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306141213 PECOS PAC ID: 4082847009 Enrollment ID: I20140428002080 |
Provider Name | Christine Briones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447275292 PECOS PAC ID: 3870586456 Enrollment ID: I20150224000663 |
Provider Name | Claudia Ivonne Romo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487196002 PECOS PAC ID: 3274817945 Enrollment ID: I20170223001843 |
Provider Name | Celina Ruiz Escamilla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891246187 PECOS PAC ID: 5395012397 Enrollment ID: I20170523001001 |
Provider Name | Evelyn Lozoya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770019721 PECOS PAC ID: 6608136239 Enrollment ID: I20180130002726 |
Provider Name | Julia Baquiel Calderon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780174904 PECOS PAC ID: 4486909207 Enrollment ID: I20180620000247 |
Provider Name | Yanira Marcano |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1801175757 PECOS PAC ID: 2365795903 Enrollment ID: I20181029000547 |
Provider Name | Blair Andrew Ball |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891297776 PECOS PAC ID: 3274897293 Enrollment ID: I20181029002941 |
Provider Name | Jennyfer Nayeli Willford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407337785 PECOS PAC ID: 3870833940 Enrollment ID: I20190327003254 |
Provider Name | Xochitl Soto Landeros |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639649767 PECOS PAC ID: 1052644861 Enrollment ID: I20190611001005 |
Provider Name | Maria Guadalupe Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104462613 PECOS PAC ID: 6406280593 Enrollment ID: I20191226000246 |
Provider Name | Erick Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104457621 PECOS PAC ID: 2567890494 Enrollment ID: I20200306002179 |
Provider Name | Claudia Macias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508496167 PECOS PAC ID: 3577992916 Enrollment ID: I20200406001272 |
Provider Name | Haidee Chavez Waymire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821641184 PECOS PAC ID: 4486067550 Enrollment ID: I20210108002509 |
Provider Name | Sandra Sabic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194308718 PECOS PAC ID: 2961802004 Enrollment ID: I20210611000792 |
Provider Name | Carlomagno Calderon Briones |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1487854436 PECOS PAC ID: 5092118109 Enrollment ID: I20210727003995 |
Provider Name | Yesenia E Ochoa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962981787 PECOS PAC ID: 3173913340 Enrollment ID: I20211201002419 |
Provider Name | Heidy Margarita Tippetts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548925548 PECOS PAC ID: 5294125076 Enrollment ID: I20211209002711 |
Provider Name | Jessica Cuevas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700539384 PECOS PAC ID: 3476949215 Enrollment ID: I20220405000631 |
Provider Name | Erendira Johana Degante |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992445365 PECOS PAC ID: 6608263074 Enrollment ID: I20220504000541 |
Provider Name | Amanda Rascon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063157253 PECOS PAC ID: 5799163697 Enrollment ID: I20220606001706 |
Provider Name | Maria Del Carmen Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922753615 PECOS PAC ID: 5799164992 Enrollment ID: I20220617001991 |
Provider Name | Nina Alexandria Celaya |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568923456 PECOS PAC ID: 4587040068 Enrollment ID: I20221006001981 |
Provider Name | Ruby Esmeralda Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346965381 PECOS PAC ID: 4981073525 Enrollment ID: I20221203000434 |
Provider Name | Flor Natalie Arellano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952025470 PECOS PAC ID: 8729457114 Enrollment ID: I20221206003131 |
Provider Name | Erica Carreon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902682248 PECOS PAC ID: 2961850565 Enrollment ID: I20231120003159 |
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