CENTERWELL SENIOR PRIMARY CARE AZ CS PC
NPI 1255167417
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 September 12, 2024CLIA 03D2008092 · Waiver

9515 W CAMELBACK RD STE 136&138, PHOENIX, AZ 85037(623) 322-8906(623) 322-8430 Get Directions Write a Review

NPPES record last updated: January 30, 2025. 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 1255167417), doing business as Centerwell Senior Primary Care-estrella, is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1255167417

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE AZ CS PC

Location Address9515 W CAMELBACK RD STE 136&138Phoenix, AZ 85037-1355

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

Phone(623) 322-8906

Fax(623) 322-8430

Organization SubpartYes

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

Enumeration DateSeptember 12, 2024

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1255167417 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

9515 W CAMELBACK RD STE 136&138, Phoenix, AZ 85037

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Other Names 1

Doing Business AsCenterwell Senior Primary Care-estrella

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 03D2008092

Centerwell Senior Primary Care-Estrella · Phoenix, AZ

Active · expires Jun 17, 2028

CLIA Number03D2008092

Laboratory TypePhysician Office

Certificate Effective DateJune 18, 2026

Certificate Expiration DateJune 17, 2028

Laboratory DirectorSahar Zuberi

Laboratory Phone(623) 322-8906

Laboratory LocationCenterwell Senior Primary Care-Estrella9515 W Camelback Rd Ste 136 &138, Phoenix, AZ 85037

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEKOZLYMN ANDERSON CRNP

Nurse Practitioner (Family)

9515 W CAMELBACK RD STE 136&138
PHOENIX, AZ 85037

Maricopa County (850) 304-7986

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 1255167417. It was assigned to this organization in the NPPES registry on September 12, 2024. The provider is doing business as CenterWell Senior Primary Care-Estrella.

Where is Centerwell Senior Primary Care Az Cs PC located?

Centerwell Senior Primary Care Az Cs PC is located at 9515 W Camelback Rd Ste 136&138, Phoenix, AZ 85037. The listed phone number is (623) 322-8906.

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.

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

Yes. A Certificate of Waiver (number 03D2008092) is associated with this NPI, valid through June 17, 2028. 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 Cs PC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.