SCOTTSDALE PREMIER CARE
NPI 1366218414
Family Medicine in Phoenix, AZ

Active since November 29, 2023
3811 E BELL RD STE 106, PHOENIX, AZ 85032(602) 443-1085(602) 443-1086 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Scottsdale Premier Care NPPES

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

SCOTTSDALE PREMIER CARE (NPI 1366218414) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since November 2023. The organization lists Priyanka Costa Hennis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366218414
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOSTA CLINIC PLLC
Location Address3811 E BELL RD STE 106Phoenix, AZ 85032-2158
Mailing Address1628 E Southern Ave Ste 9803Tempe, AZ 85282-5782
Fax(602) 443-1086
Organization SubpartNo
Authorized OfficialPriyanka Costa HennisMedical Director · (312) 625-0574
Enumeration DateNovember 29, 2023
Last NPPES UpdateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
NPI 1366218414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3811 E BELL RD STE 106, Phoenix, AZ 85032

Other Names 1

Doing Business AsScottsdale Premier Care

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

Other Providers at the Same Location NPPES 4

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

Family Medicine
3811 E BELL RD STE 106
PHOENIX, AZ 85032
Family Medicine
3811 E BELL RD STE 106
PHOENIX, AZ 85032
Nurse Practitioner (Gerontology)
3811 E BELL RD STE 106
PHOENIX, AZ 85032
Family Medicine
3811 E BELL RD STE 106
PHOENIX, AZ 85032

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 Costa Clinic PLLC's NPI number?

The NPI number for Costa Clinic PLLC is 1366218414. It was assigned to this organization in the NPPES registry on November 29, 2023. The provider is doing business as Scottsdale Premier Care.

Where is Costa Clinic PLLC located?

Costa Clinic PLLC is located at 3811 E Bell Rd Ste 106, Phoenix, AZ 85032. The listed phone number is (602) 443-1085.

What is Costa Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Costa Clinic PLLC was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.