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

Humberto Enrique De la Torre Hogan

Individual provider Physician Assistant · NPI 1649161027

Humberto Enrique De la Torre Hogan is a Physician Assistant in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

1505 E Sunnyslope Ln
Phoenix, AZ 85020-2728
Phone: (602) 628-4015
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1649161027
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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