1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Internal Medicine
  6. NPI Profile

CENTERWELL SENIOR PRIMARY CARE-GOLDEN HILLS
NPI 1538914429
Internal Medicine in Mesa, AZ

Active since April 23, 2024CLIA 03D0972797 · Waiver
6952 E BROADWAY RD, MESA, AZ 85208(480) 325-0905(480) 325-6661 Get Directions Write a Review

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

Record update history: Aug 19, 2024, Apr 23, 2024 (2 updates tracked since 2024).

About Centerwell Senior Primary Care-golden Hills NPPES

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

CENTERWELL SENIOR PRIMARY CARE-GOLDEN HILLS (NPI 1538914429) is a healthcare organization registered as an internal medicine in Mesa, Arizona and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1538914429
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE AZ PC
Location Address6952 E BROADWAY RDMesa, AZ 85208-1974
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(480) 325-0905
Fax(480) 325-6661
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateApril 23, 2024
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1538914429 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
6952 E BROADWAY RD, Mesa, AZ 85208
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-golden Hills

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 03D0972797

Centerwell Senior Primary Care (az) PC Dba Centerwell Golden Hills · Mesa, AZ
Active · expires Apr 17, 2028
CLIA Number03D0972797
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorSahar Zuberi
Laboratory Phone(480) 325-0905
Laboratory LocationCenterwell Senior Primary Care (az) PC Dba Centerwell Golden Hills6952 E Broadway Road, Mesa, AZ 85208
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 3

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

YVA JEAN-MARC NP-C
Nurse Practitioner (Family)
6952 E BROADWAY RD
MESA, AZ 85208
Maricopa County (480) 325-0906
MARIA THERESA REYES MD
Family Medicine
6952 E BROADWAY RD
MESA, AZ 85208
Maricopa County (480) 325-0905
FAMILY HEALTH CENTER OF EAST VALLEY PLLC
Family Medicine
6952 E BROADWAY RD, SUITE 101
MESA, AZ 85208
Maricopa County (480) 325-0905

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 1538914429. It was assigned to this organization in the NPPES registry on April 23, 2024. The provider is doing business as Centerwell Senior Primary Care-Golden Hills.

Where is Centerwell Senior Primary Care Az PC located?

Centerwell Senior Primary Care Az PC is located at 6952 E Broadway Rd, Mesa, AZ 85208. The listed phone number is (480) 325-0905.

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 03D0972797) is associated with this NPI, valid through April 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 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.