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CENTERWELL SENIOR PRIMARY CARE AZ CS PC
NPI 1477418382
Internal Medicine in Surprise, AZ

Active since December 23, 2025CLIA 03D2241742 · Waiver
14749 W MOUNTAIN VIEW BLVD STE 138, SURPRISE, AZ 85374(623) 738-0440(480) 374-8051 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1477418382) is a healthcare organization registered as an internal medicine in Surprise, Arizona and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1477418382
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE AZ CS PC
Location Address14749 W MOUNTAIN VIEW BLVD STE 138Surprise, AZ 85374-2704
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120 · Fax (407) 770-0661
Phone(623) 738-0440
Fax(480) 374-8051
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1477418382 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
14749 W MOUNTAIN VIEW BLVD STE 138, Surprise, AZ 85374
Open in Google Maps ↗

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 03D2241742

Centerwell Senior Primary Care-Parkview · Surprise, AZ
Active · expires Oct 31, 2027
CLIA Number03D2241742
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorTracy Wakefield
Laboratory Phone(623) 738-0440
Laboratory LocationCenterwell Senior Primary Care-Parkview14749 W Mountain View Blvd Ste 138, Surprise, AZ 85374
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. HAMIDULLAH HABIB FALA MD
Internal Medicine
14749 W MOUNTAIN VIEW BLVD STE 138
SURPRISE, AZ 85374
Maricopa County (623) 738-0440
MELINA CLARISSA SIMS
Nurse Practitioner (Acute Care)
14749 W MOUNTAIN VIEW BLVD STE 138
SURPRISE, AZ 85374
Maricopa County (623) 738-0440
FALA MEDICAL CLINIC PLLC
Clinic/Center (Primary Care)
14749 W MOUNTAIN VIEW BLVD STE 138
SURPRISE, AZ 85374
Maricopa County (623) 738-0440

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 1477418382. It was assigned to this organization in the NPPES registry on December 23, 2025.

Where is Centerwell Senior Primary Care Az Cs PC located?

Centerwell Senior Primary Care Az Cs PC is located at 14749 W Mountain View Blvd Ste 138, Surprise, AZ 85374. The listed phone number is (623) 738-0440.

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 03D2241742) is associated with this NPI, valid through October 31, 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 Cs PC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.