SERGIO PENAHERRERA (NPI# 1538258744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538258744 |
| Entity Type | Individual |
| Full Name | SERGIO PENAHERRERA |
| Credential | MD |
| Practice Address |
3800 W 24th St 1 Yuma AZ 85364-6298 |
| Mailing Address |
Po Box 590 Yuma AZ 85366-0590 |
| Practice Telephone | 9283446450 |
| Practice Fax Number | 9283446480 |
| Mailing Telephone | 9283446450 |
| Mailing Fax Number | 9283446480 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 22887 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 167090003 | 05 | |
| AZ | TRIWEST HEALTHCARE | 522352991 | 01 |
| AZ | RAILROAD MEDICARE | DC7704 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0721180 | 01 |
| Street Address |
3800 W 24TH ST 1 |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881772317 | Southwest Diabetes Center Pllc | Internal Medicine | 3800 W 24th St, 1, Yuma, AZ 85364-6298 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033643374 | Bio Clinic PC | Internal Medicine | 11468 N Frontage Rd Ste A, Yuma, AZ 85367 | 2017-04-13 |
| 1467850461 | Parkside Medical, LLC | Internal Medicine | 501 W 8th St, Yuma, AZ 85364-2956 | 2014-12-08 |
| 1154558450 | Yuma Physicians Medical Clinic, P.C. | Internal Medicine | 1079 W 23rd St, Yuma, AZ 85364-8347 | 2009-06-15 |
| 1902042252 | Adrienne Gutierrez, Md Sc | Internal Medicine | 2244 S Ave A Ste E, Yuma, AZ 85364-8341 | 2008-12-16 |
| 1548430358 | Yuma Internal Medicine LLC | Internal Medicine | 1773 W 24th St Ste B, Yuma, AZ 85364-6230 | 2008-03-07 |
| 1831264951 | Loc Hoang Nguyen | Internal Medicine | 1001 W 16th St, Yuma, AZ 85364-4547 | 2006-11-22 |
| 1821168451 | Abdulkadir Hourani Md | Internal Medicine | 2051 W 25th St Ste C, Yuma, AZ 85364-6912 | 2006-11-09 |
| 1265502710 | Infectious Disease Center of Yuma Plc | Internal Medicine | 2451 S Avenue A Ste 5, Yuma, AZ 85364-7133 | 2006-11-09 |
| 1619057932 | Arizona Medical Center Pllc | Internal Medicine | 2095 W 24th St Ste A, Yuma, AZ 85364-6243 | 2006-10-17 |
| 1407940307 | Claudia Dima | Internal Medicine | 2475 S Avenue A Ste A, Yuma, AZ 85364-7168 | 2006-10-03 |
| Find all providers in YUMA | ||||
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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.