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CHRISTIAN CARE MEDICAL FOUNDATION NPI 1548830789


NPI Information

NPI: 1548830789
Provider Name: CHRISTIAN CARE MEDICAL FOUNDATION

Doing Business As: MI DOCTOR FAMILIAR

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5418 E SKYLINE DR
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 776-9417
Get Directions

CHRISTIAN CARE MEDICAL FOUNDATION is a geriatric medicine family medicine in San Tan Valley, AZ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. CHRISTIAN CARE MEDICAL FOUNDATION NPI is 1548830789. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mi Doctor Familiar.

The provider's business location address is:

5418 E SKYLINE DR
SAN TAN VALLEY, AZ
ZIP 85140-000
Phone: (480) 776-9417
Fax: (480) 907-2110

The provider's authorized official is Humberto Robert Inzunza .
The authorized official title is Ceo and has the following contact phone number (480) 776-9417.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 1/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174H00000XHealth EducatorNo
2207Q00000XFamily MedicineNo
3207QA0505XFamily MedicineAdult MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5363AM0700XPhysician AssistantMedicalNo
6207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11952532988OTHERARIZONASUNIL R KURUP MD NPI
2254343MEDICAIDARIZONA
31528356441OTHERCALIFORNIAHUMBERTO R INZUNZA PA-C NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.