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CENTERWELL SENIOR PRIMARY CARE-WEST GRAND
NPI 1396501201
Internal Medicine in Surprise, AZ

Active since February 27, 2024CLIA 45D2167091 · Waiver
13945 W GRAND AVE STE 102, SURPRISE, AZ 85374(024) 286-9156(602) 429-8531 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centerwell Senior Primary Care-west Grand NPPES

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

CENTERWELL SENIOR PRIMARY CARE-WEST GRAND (NPI 1396501201) is a healthcare organization registered as an internal medicine in Surprise, Arizona and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Brienne Jansen Loy, Owner, as its authorized official.

NPPES Registry Identity

NPI1396501201
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE AZ PC
Location Address13945 W GRAND AVE STE 102Surprise, AZ 85374-2437
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(024) 286-9156
Fax(602) 429-8531
Organization SubpartYes
Authorized OfficialBrienne Jansen LoyOwner · (832) 667-4150
Enumeration DateFebruary 27, 2024
Last NPPES UpdateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1396501201 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
13945 W GRAND AVE STE 102, Surprise, AZ 85374
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Other Names 1

Doing Business AsCenterwell Senior Primary Care-west Grand

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 45D2167091

Centerwell Senior Primary Care (tx) PA Dba Centerwell Downtown East · Houston, TX
Active · expires May 30, 2027
CLIA Number45D2167091
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorDr. An Thien Tang
Laboratory Phone(832) 667-4150
Laboratory LocationCenterwell Senior Primary Care (tx) PA Dba Centerwell Downtown East5104 Harrisburg Blvd Ste 800, Houston, TX 77011
CLIA data matches this NPI record on: 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 1396501201. It was assigned to this organization in the NPPES registry on February 27, 2024. The provider is doing business as Centerwell Senior Primary Care-West Grand.

Where is Centerwell Senior Primary Care Az PC located?

Centerwell Senior Primary Care Az PC is located at 13945 W Grand Ave Ste 102, Surprise, AZ 85374. The listed phone number is (024) 286-9156.

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 45D2167091) is associated with this NPI, valid through May 30, 2027. 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 19, 2024. 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.