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

Centerwell Senior Primary Care Az PC

Organization Family Medicine Physician · NPI 1396501201

Centerwell Senior Primary Care Az PC is a Family Medicine Physician in Surprise, 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

13945 W Grand Ave Ste 102
Surprise, AZ 85374-2437
Phone: (024) 286-9156
Fax: (602) 429-8531
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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 number1396501201
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Az PC
Authorized official Brienne Loy — Owner · (832) 667-4150
Other names Centerwell Senior Primary Care-West Grand; Centerwell Senior Primary Care-West Grand
NPI enumeratedFebruary 27, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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