Dhhs Ihs Phoenix Area
NPI 1487906418ActiveOrganization· Family Medicine· San Carlos, AZ
Family Medicine in San Carlos, Arizona, registered in NPPES in October 2012. The authorized official on file is Shirley M. Boni, Administrative Officer.
Overview
| NPI | 1487906418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2012 |
| Last updated in NPPES | Oct 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Dentist | 122300000X | — | — |
| Optometrist | 152W00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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