Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care Az Cs PC

Organization Family Medicine Physician · NPI 1255167417

Centerwell Senior Primary Care Az Cs PC is a Family Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9515 W Camelback Rd Ste 136&138
Phoenix, AZ 85037-1355
Phone: (623) 322-8906
Fax: (623) 322-8430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1255167417
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Az Cs PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-Estrella; Centerwell Senior Primary Care-Estrella
NPI enumeratedSeptember 12, 2024
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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