| Gregory Celaya Md Pc | |
|
926 E Mcdowell Rd Ste 202 Phoenix AZ 85006-2508 | |
| (602) 609-4525 | |
| (602) 609-4462 |
| Full Name | Gregory Celaya Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 926 E Mcdowell Rd Ste 202, Phoenix, Arizona |
| Authorized Official Name and Position | Gregory Celaya (PRESIDENT) |
| Authorized Official Contact | 6026094525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Celaya Md Pc 926 E Mcdowell Rd Ste 202 Phoenix AZ 85006-2508 Ph: (602) 609-4525 | Gregory Celaya Md Pc 926 E Mcdowell Rd Ste 202 Phoenix AZ 85006-2508 Ph: (602) 609-4525 |
| NPI Number | 1992892434 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 0345206033 |
|---|---|
| Medicare Enrollment ID | O20041203001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992892434 | NPI | - | NPPES |
| 21703 | Other | AZ | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21703 (Arizona) | Primary |
| Provider Name | Gregory J Celaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477514412 PECOS PAC ID: 9335128222 Enrollment ID: I20040715000020 |
| Provider Name | Lincy Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174981310 PECOS PAC ID: 2769776079 Enrollment ID: I20160810000012 |
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