PRESIDIO PRIMARY CARE PLLC (NPI# 1841446085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841446085 |
| Entity Type | Organization |
| Organization Name | PRESIDIO PRIMARY CARE PLLC |
| Practice Address |
1100 S Dobson Rd Chandler AZ 85286-6157 |
| Mailing Address |
1100 S Dobson Rd Suite 100 Chandler AZ 85286-6157 |
| Practice Telephone | 4805053595 |
| Practice Fax Number | 4805053288 |
| Mailing Telephone | 4803474300 |
| Mailing Fax Number | 4803474360 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | DR. MARIE PIMENTEL (DOCTOR) |
| Authorized Official Telephone | 4805053295 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
22574 | AZ | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
22505 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1100 S DOBSON RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85286-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396725958 | Larry J. Sanders | Orthopaedic Surgery | 1100 S Dobson Rd, Suite 203, Chandler, AZ 85286-6157 | 2006-01-19 |
| 1952829582 | Tierney Rose Shea | Physician Assistant | 1100 S Dobson Rd, Chandler, AZ 85224 | 2017-09-04 |
| 1447775986 | Alyssa Smith | Nurse Practitioner | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2017-08-06 |
| 1013312925 | East Valley Dermatology Rx, LLC | Dermatology | 1100 S Dobson Rd, #223, Chandler, AZ 85286-6157 | 2014-11-04 |
| 1699113696 | Maria R Brown | Surgery | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2013-06-12 |
| 1053655043 | Michelle Yoo | Physician Assistant | 1100 S Dobson Rd, #100, Chandler, AZ 85286-6157 | 2012-11-15 |
| 1386871523 | Ryan Falsey | Dermatology | 1100 S Dobson Rd, #223, Chandler, AZ 85286-6157 | 2009-06-15 |
| 1932351624 | Yuliya S Schoenling | Physician Assistant | 1100 S Dobson Rd, Suite 223, Chandler, AZ 85286-6157 | 2008-10-14 |
| 1114178282 | Wendy Ann Ridenour | Physician Assistant | 1100 S Dobson Rd, Suite 223, Chandler, AZ 85286-6157 | 2008-10-07 |
| 1972752814 | Falcon Family Eye Care, P.C. | Optometrist | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
| Find all providers in zip 85286 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456494 | New Life Health Care | Clinic/Center | 961 W Ray Rd Ste 7, Chandler, AZ 85225-6553 | 2019-09-17 |
| 1467848606 | Sun Valley Integrative Health, Pllc | Clinic/Center | 3632 W Tyson St, Chandler, AZ 85226-4050 | 2015-04-14 |
| 1104161272 | Vital Future Primary Care | Clinic/Center | 2875 W Ray Rd Ste 6-382, Chandler, AZ 85224-3524 | 2012-11-30 |
| 1932450533 | James Loo, M.d., P.C. | Clinic/Center | 1870 W Frye Rd, Suite #1, Chandler, AZ 85224-6233 | 2012-09-24 |
| 1427289701 | Bodhi Body Integrative Medical Centers | Clinic/Center | 2915 W Ray Rd, Suite 8, Chandler, AZ 85224-3631 | 2009-08-04 |
| 1982146650 | Center for Health & Natural Healing Pllc | Clinic/Center | 2875 W Ray Rd Ste 6-239, Chandler, AZ 85224-3524 | 2016-11-13 |
| 1699229013 | Careatc - Chandler | Clinic/Center | 2175 N Alma School Rd, Suite 109, Chandler, AZ 85224-2878 | 2016-08-15 |
| 1720456874 | Valley Primary Care LLC | Clinic/Center | 2745 S Alma School Rd, 2, Chandler, AZ 85286-4405 | 2015-09-07 |
| 1508292970 | Ucr Healthcare, LLC | Clinic/Center | 2745 S Alma School Rd Ste 2, Chandler, AZ 85286-4405 | 2013-09-17 |
| 1538429576 | Concentra Primary Care of Arizona Pa | Clinic/Center | 595 N Dobson Rd, Suite D-65, Chandler, AZ 85224-4226 | 2012-05-24 |
| Find all providers in CHANDLER | ||||
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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.