CARLOS ISAAC PACHECO CANO (NPI# 1699161190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699161190 |
| Entity Type | Individual |
| Full Name | CARLOS ISAAC PACHECO CANO |
| Credential | MD |
| Practice Address |
155 Calle Portal Ste 300 Sierra Vista AZ 85635-2900 |
| Mailing Address |
1205 N F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5204593011 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203646852 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 55327 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 469822 | 05 |
| Street Address |
155 CALLE PORTAL STE 300 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932120870 | Bruce E Silva Md and Kenneth S. Kacenga Do Pllc | Obstetrics & Gynecology | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2006-07-23 |
| 1811527708 | Kara Joy Merrell | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2020-01-20 |
| 1376100594 | Danielle Ernestine Green | Dentist | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2019-05-22 |
| 1013498328 | Nicole Lee Williams | Dietitian, Registered | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2018-08-24 |
| 1245726447 | Jennifer Renee Schafer | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635 | 2018-07-11 |
| 1467954594 | Chelsey M Housley | Dietitian, Registered | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2018-03-05 |
| 1467972133 | Rebecca Lamas | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2017-06-23 |
| 1689111817 | Christine Grassman | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2017-01-25 |
| 1386187680 | Sherri Arenas | Counselor | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2016-11-18 |
| 1396127742 | Katrina Ventura-morano | Internal Medicine | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184060832 | Andrew Navindra Latchman | Internal Medicine | 198 S Coronado Dr Ste A, Sierra Vista, AZ 85635 | 2013-05-21 |
| 1205087780 | Lenzner Medical Services, LLC | Internal Medicine | 286 S Lenzner Avenue, Sierra Vista, AZ 85635 | 2008-10-02 |
| 1316960016 | Santsaran C Patel | Internal Medicine | 1620 E Wilcox Dr, Sierra Vista, AZ 85635-2778 | 2006-07-25 |
| 1821022484 | John N Herrod | Internal Medicine | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 | 2006-07-10 |
| 1083602700 | Rebecca Pradhan-nara | Internal Medicine | 77 Calle Portal, Suite B260a, Sierra Vista, AZ 85635-2967 | 2005-10-06 |
| 1164032447 | Mustafa Douglas | Internal Medicine | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2020-08-03 |
| 1922586528 | Hospitalist Medicine Physicians of Arizona - Sierra Vista | Internal Medicine | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2018-08-06 |
| 1417484916 | Samantha Morgan | Internal Medicine | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2017-05-15 |
| 1861843682 | Ceon Kang | Internal Medicine | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2016-06-22 |
| 1285089441 | Jessica Ivy Chang | Internal Medicine | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2016-04-25 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.