CENTERWELL SENIOR PRIMARY CARE AZ CS PC
NPI 1043163348
Internal Medicine in Phoenix, AZ

Q: What is Centerwell Senior Primary Care Az Cs PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 17, 2026

12419 N TATUM BLVD # B114, PHOENIX, AZ 85032(407) 447-7120 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Centerwell Senior Primary Care Az Cs Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE AZ CS PC (NPI 1043163348), doing business as Centerwell Senior Primary Care-paradise Valley, is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since February 2026. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1043163348

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE AZ CS PC

Location Address12419 N TATUM BLVD # B114Phoenix, AZ 85032-7708

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120 · Fax (407) 770-0661

Phone(407) 447-7120

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1043163348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

12419 N TATUM BLVD # B114, Phoenix, AZ 85032

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Other Names 1

Doing Business AsCenterwell Senior Primary Care-paradise Valley

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care Az Cs PC's NPI number?

The NPI number for Centerwell Senior Primary Care Az Cs PC is 1043163348. It was assigned to this organization in the NPPES registry on February 17, 2026. The provider is doing business as CenterWell Senior Primary Care-Paradise Valley.

Where is Centerwell Senior Primary Care Az Cs PC located?

Centerwell Senior Primary Care Az Cs PC is located at 12419 N Tatum Blvd # B114, Phoenix, AZ 85032. The listed phone number is (407) 447-7120.

What is Centerwell Senior Primary Care Az Cs PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Az Cs PC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.