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

Phoenix West Internal Medicine LLC

Organization Internal Medicine Physician · NPI 1609805530

Phoenix West Internal Medicine LLC is an Internal Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4150 N 108th Ave Ste 142
Phoenix, AZ 85037-5467
Phone: (623) 322-1145
Fax: (623) 466-9552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 30062 (AZ)

Record details

NPI number1609805530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fernando De Castro — Owner · (623) 322-1145
NPI enumeratedJuly 2, 2006
Last updated in NPPESMarch 8, 2011
Mailing address9524 W Camelback Rd, Ste 130 Pmb186, Glendale, AZ 85305-3104

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