| Sunset Community Health Center Inc | |
|
115 N Somerton Ave Somerton AZ 85350 | |
| (928) 627-2051 | |
| (928) 627-3857 |
| Full Name | Sunset Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 N Somerton Ave, Somerton, Arizona |
| Authorized Official Name and Position | David Rogers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9288198999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Community Health Center Inc 2060 W 24th St Yuma AZ 85364-6123 Ph: (928) 819-8999 | Sunset Community Health Center Inc 115 N Somerton Ave Somerton AZ 85350 Ph: (928) 627-2051 |
| NPI Number | 1962507376 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 4587569843 |
|---|---|
| Medicare Enrollment ID | O20031201000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962507376 | NPI | - | NPPES |
| 433061 | Medicaid | AZ | |
| OTC0046 | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OTC0046 (Arizona) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Oliver G Severino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093748600 PECOS PAC ID: 2668404328 Enrollment ID: I20050902000358 |
| Provider Name | Ching Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063437499 PECOS PAC ID: 2466475454 Enrollment ID: I20060105000050 |
| Provider Name | Sathya P Vemuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407889017 PECOS PAC ID: 4880617893 Enrollment ID: I20060105000167 |
| Provider Name | Delia C Montopoli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023041704 PECOS PAC ID: 4981606977 Enrollment ID: I20070205000020 |
| Provider Name | Saika S Somjee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457429458 PECOS PAC ID: 9234236084 Enrollment ID: I20070514000243 |
| Provider Name | Pamela Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881003515 PECOS PAC ID: 1355664558 Enrollment ID: I20141218002627 |
| Provider Name | Maria E Fereira Carroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154610764 PECOS PAC ID: 3072836907 Enrollment ID: I20141230001399 |
| Provider Name | Mazhar U Bajwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306228523 PECOS PAC ID: 2668782434 Enrollment ID: I20151106000398 |
| Provider Name | Jose L Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881955169 PECOS PAC ID: 9739486747 Enrollment ID: I20171017002361 |
| Provider Name | Keli Osborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952774754 PECOS PAC ID: 7214263771 Enrollment ID: I20190723000466 |
| Provider Name | Efoui Menyo Abotsi-kowu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609431220 PECOS PAC ID: 2668804980 Enrollment ID: I20191107000701 |
| Provider Name | Melissa Marie Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003475534 PECOS PAC ID: 9436585718 Enrollment ID: I20200204003106 |
| Provider Name | April Lyn Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386269900 PECOS PAC ID: 0345662839 Enrollment ID: I20200630001475 |
| Provider Name | Julia L Luevanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669097051 PECOS PAC ID: 7618394461 Enrollment ID: I20200825003776 |
| Provider Name | Edsel Sandoval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275062986 PECOS PAC ID: 8123390853 Enrollment ID: I20200909001510 |
| Provider Name | Rene Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902407091 PECOS PAC ID: 3779993340 Enrollment ID: I20201110002915 |
| Provider Name | Jaye Lorine Hurtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376205591 PECOS PAC ID: 0749328607 Enrollment ID: I20220520002269 |
| Provider Name | Alma Aracely Rivera Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912604836 PECOS PAC ID: 4981077419 Enrollment ID: I20230303002031 |
| Provider Name | Glafira Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689370207 PECOS PAC ID: 1658746524 Enrollment ID: I20230406000289 |
| Provider Name | Maju D Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972375459 PECOS PAC ID: 7012366081 Enrollment ID: I20231215002012 |
| Provider Name | Daniel Amaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376322974 PECOS PAC ID: 9931548823 Enrollment ID: I20240411001485 |
| Provider Name | Judith Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205481306 PECOS PAC ID: 0547609398 Enrollment ID: I20240412003860 |
| Provider Name | Laura G Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255945804 PECOS PAC ID: 1153761465 Enrollment ID: I20240503001795 |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 E Main St Bldg B, Somerton, AZ 85350 Phone: 928-236-8001 Fax: 928-722-6113 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Main St Bldg C, Somerton, AZ 85350 Phone: 928-324-1040 Fax: 928-324-1044 | |
Family Behavioral Integrated Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 E Main St, Somerton, AZ 85350 Phone: 928-627-2017 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 E Main St Bldg B, Somerton, AZ 85350 Phone: 928-236-8001 Fax: 928-722-6113 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Main St Bldg B, Somerton, AZ 85350 Phone: 928-315-7910 Fax: 928-722-6113 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Main St Bldg B, Somerton, AZ 85350 Phone: 928-236-8001 Fax: 928-722-6113 |