CLINICA MEDICA FAMILIAR SAN GABRIEL, LLC
NPI 1609632298
Family Medicine in Tempe, AZ

Q: What is Clinica Medica Familiar San Gabriel, LLC's specialty?

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

Active since February 22, 2024

4515 S MCCLINTOCK DR STE 115, TEMPE, AZ 85282(480) 780-0690(480) 831-0415 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Clinica Medica Familiar San Gabriel, Llc NPPES

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

CLINICA MEDICA FAMILIAR SAN GABRIEL, LLC (NPI 1609632298) is a healthcare organization registered as a family medicine in Tempe, Arizona and active in the NPI registry since February 2024. The organization lists Marie E Bentz, Owner, as its authorized official.

NPPES Registry Identity

NPI1609632298

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCLINICA MEDICA FAMILIAR SAN GABRIEL, LLC

Location Address4515 S MCCLINTOCK DR STE 115Tempe, AZ 85282-7381

Mailing Address4515 S Mcclintock Dr Ste 115Tempe, AZ 85282-7381 · (480) 780-0690 · Fax (480) 831-0415

Phone(480) 780-0690

Fax(480) 831-0415

Organization SubpartNo

Authorized OfficialMarie E BentzOwner · (714) 465-0875

Enumeration DateFebruary 22, 2024

NPPES CertifiedFebruary 22, 2024

✔ NPI 1609632298 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.

4515 S MCCLINTOCK DR STE 115, Tempe, AZ 85282

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Medica Familiar San Gabriel, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinica Medica Familiar San Gabriel, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marie Bentz, FNP

Nurse Practitioner

NPI 1548850134

5722 E STILLWATER AVE UNIT 8
Orange, CA 92869

(714) 465-0875

✔ PECOS✔ Accepts Medicare340 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clinica Medica Familiar San Gabriel, LLC's NPI number?

The NPI number for Clinica Medica Familiar San Gabriel, LLC is 1609632298. It was assigned to this organization in the NPPES registry on February 22, 2024.

Where is Clinica Medica Familiar San Gabriel, LLC located?

Clinica Medica Familiar San Gabriel, LLC is located at 4515 S Mcclintock Dr Ste 115, Tempe, AZ 85282. The listed phone number is (480) 780-0690.

What is Clinica Medica Familiar San Gabriel, LLC's specialty?

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

Is Clinica Medica Familiar San Gabriel, LLC enrolled in Medicare?

Yes. Clinica Medica Familiar San Gabriel, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Medica Familiar San Gabriel, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clinica Medica Familiar San Gabriel, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinica Medica Familiar San Gabriel, LLC was last updated on February 22, 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.