Puerto Sonora Internal Medicine
NPI 1427635408ActiveOrganization· Internal Medicine· Tempe, AZ
Internal Medicine in Tempe, Arizona, registered in NPPES in March 2021. The authorized official on file is Lynn Pangallo, Accounting Manager - Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427635408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2021 |
| Last updated in NPPES | Feb 28, 2023 |
| Certified by provider | Feb 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine, Addiction Medicine | 207QA0401X | — | — |
| Family Medicine, Adult Medicine | 207QA0505X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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