FELIZ FAMILY CARE PLLC NPI 1043999014

NPI Information

  • NPI: 1043999014
  • Provider Name: FELIZ FAMILY CARE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: FELIZ CARE CENTERS PLLC
  • CLIA Number: 03D2181656
  • Address: 3415 W GLENDALE AVE STE 32A
    PHOENIX, AZ
    ZIP 85051
  • Phone: (602) 246-7462

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NPI Details

FELIZ FAMILY CARE, PLLC is a family medicine in Phoenix, AZ. The provider is 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. FELIZ FAMILY CARE, PLLC NPI is 1043999014. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Feliz Care Centers Pllc.

The provider's business location address is:

3415 W GLENDALE AVE STE 32A
PHOENIX, AZ
ZIP 85051-485
Phone: (602) 246-7462

The provider's authorized official is Roman Carrasco .
The authorized official title is Ceo and has the following contact phone number (480) 264-3711.

The CLIA number assigned to this NPI record is 03D2181656 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2023 and was last updated on 1/21/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyNo
2208D00000XGeneral PracticeNo
3363AM0700XPhysician AssistantMedicalNo
4363LF0000XNurse PractitionerFamilyNo
5207Q00000XFamily MedicineYes

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: 3/30/2025

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