SAN JOSE HEALTH CLINIC, LLC (NPI# 1770753162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770753162 |
| Entity Type | Organization |
| Organization Name | SAN JOSE HEALTH CLINIC, LLC |
| Practice Address |
1962 E Juan Sanchez Blvd Ste 1 San Luis AZ 85349 |
| Mailing Address |
Po Box 1689 San Luis AZ 85349-1689 |
| Practice Telephone | 9287226098 |
| Practice Fax Number | 9286270007 |
| Mailing Telephone | 9287226098 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | DR. JOSE M PISCOYA (PRESIDENT) |
| Authorized Official Telephone | 9287226098 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25569 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 838352 | 05 |
| Street Address |
1962 E JUAN SANCHEZ BLVD STE 1 |
| City | SAN LUIS |
| State | AZ |
| Zip Code | 85349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391351 | Bryson Lee Wandling | Physician Assistant | 815 E. Cesar Chavez Blvd., San Luis, AZ 85349 | 2020-03-12 |
| 1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
| 1184142317 | Rosenda Uribe | Specialist/Technologist | 337 Adobe St, San Luis, AZ 85349 | 2017-09-08 |
| 1033644372 | Lourens Rasmus Botha | Pharmacist | 1613 N Main Street, San Luis, AZ 85349 | 2017-04-24 |
| 1205389988 | Miriam Gonzalez | Dentist | 801 North 2nd Ave, San Luis, AZ 85349 | 2016-07-28 |
| 1386016269 | Isabel M Arias | Dental Hygienist | 1896 E. Babbitt Ln., San Luis, AZ 85349 | 2015-10-30 |
| 1801262308 | Rosario Alejandra Morales Villegas | Specialist/Technologist | 1657 E. B Street, San Luis, AZ 85349 | 2015-08-19 |
| 1598142291 | Manuel Angel Salcido | Specialist/Technologist, Other | 1959 E Georgina St, San Luis, AZ 85349 | 2015-05-01 |
| 1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
| 1134542921 | Gerardo Garcia | Pharmacist | 1613 N Main St, San Luis, AZ 85349 | 2014-01-29 |
| Find all providers in zip 85349 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265458517 | Ramiro Garciareyes | Family Medicine | 1896 East Babbit Lane, San Luis, AZ 85349-1669 | 2006-07-13 |
| 1265503676 | Joseph Quintana | Family Medicine | 233 Main Street, San Luis, CO 81152-2340 | 2006-11-10 |
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|---|---|---|---|---|
| 1306446349 | Holding Hands Medical Pllc | Family Medicine | 8515 S College Ln, Tempe, AZ 85284-2342 | 2020-10-29 |
| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
| 1184238164 | Mobile Np Pllc | Family Medicine | 5807 E Vernon Ave, Scottsdale, AZ 85257-1941 | 2020-09-07 |
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1447864830 | Prevencare Health Services, LLC | Family Medicine | 750 Bartow Dr Ste 16, Sierra Vista, AZ 85635-1833 | 2020-09-02 |
| 1093328767 | Whole Health Primary Care LLC | Family Medicine | 7113 W Sophie Ln, Laveen, AZ 85339-3475 | 2020-08-24 |
| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.