EDGAR AMAVIZCA MD
NPI 1760178081
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Edgar Amavizca Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGAR AMAVIZCA MD (NPI 1760178081) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edgar Amavizca Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85013
PHOENIX, AZ 85013
PHOENIX, AZ 85013
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 Edgar Amavizca's NPI number?
The NPI number for Edgar Amavizca is 1760178081. It was assigned to this individual provider in the NPPES registry on April 12, 2023.
Where is Edgar Amavizca located?
Edgar Amavizca practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 406-3000.
What is Edgar Amavizca's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Edgar Amavizca enrolled in Medicare?
Yes. Edgar Amavizca is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Edgar Amavizca was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Edgar Amavizca, MD · NPI 1760178081
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 12, 2023.
## Identity
- **NPI:** 1760178081 (Entity type: Individual)
- **Enumerated:** April 12, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 350 W THOMAS RD, Phoenix, AZ 85013-4496
- **Phone:** (602) 406-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760178081) · Data from the CMS NPPES public registry.