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CENTERWELL SENIOR PRIMARY CARE-ALHAMBRA
NPI 1063169316
Internal Medicine in Phoenix, AZ

Active since March 07, 2022CLIA 03D2267619 · Waiver
702 W CAMELBACK RD, PHOENIX, AZ 85013(480) 808-9215(877) 891-4777 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Oct 31, 2022, Mar 7, 2022 (3 updates tracked since 2022).

About Centerwell Senior Primary Care-alhambra NPPES

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

CENTERWELL SENIOR PRIMARY CARE-ALHAMBRA (NPI 1063169316) is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1063169316
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE AZ PC
Location Address702 W CAMELBACK RDPhoenix, AZ 85013-2291
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(480) 808-9215
Fax(877) 891-4777
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMarch 7, 2022
Last NPPES UpdateAugust 11, 20233 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1063169316 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
702 W CAMELBACK RD, Phoenix, AZ 85013
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-alhambra

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2267619

Centerwell Senior Primary Care-Alhambra · Phoenix, AZ
Active · expires Aug 28, 2026
CLIA Number03D2267619
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorDr. Sahar Zuberi
Laboratory Phone(480) 808-9215
Laboratory LocationCenterwell Senior Primary Care-Alhambra702 W Camelback Rd, Phoenix, AZ 85013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 PC's NPI number?

The NPI number for Centerwell Senior Primary Care Az PC is 1063169316. It was assigned to this organization in the NPPES registry on March 7, 2022. The provider is doing business as Centerwell Senior Primary Care-Alhambra.

Where is Centerwell Senior Primary Care Az PC located?

Centerwell Senior Primary Care Az PC is located at 702 W Camelback Rd, Phoenix, AZ 85013. The listed phone number is (480) 808-9215.

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

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

Does Centerwell Senior Primary Care Az PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2267619) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Az PC was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.