MEDICARE: HOPE DIABETES CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	2409	AZ
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1104865757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE DIABETES CENTER, LLC

Provider Business Mailing Address
First Line	:	PO BOX 838
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85299-0838
Country	:	US
Telephone Number	:	480-497-5933
Fax Number	:	480-497-5934

Provider Business Practice Location Address
First Line	:	3048 E BASELINE RD STE 122
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-7288
Country	:	US
Telephone Number	:	480-497-5933
Fax Number	:	480-497-5934

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARILEY M SEGRERA-GRABANIA
Credential	:
Telephone Number	:	480-497-5933

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	08/02/2024

Similar Medicare Providers

1457230518 — LOST AND FOUND COUNSELING, PLLC
Practice Location Address:

3048 E BASELINE RD STE 123
MESA, AZ
85204-7288

Practice Phone: 480-359-5001
Practice Fax:

1144395476 — MICHELE F. DAVIS FNP-C
Practice Location Address:

3048 E BASELINE RD STE 120
MESA, AZ
85204-7288

Practice Phone: 480-505-3276
Practice Fax:

1386605657 — ANUPAMA NUTAKKI M.D.
Practice Location Address:

3048 E BASELINE RD STE 120
MESA, AZ
85204-7288

Practice Phone: 480-505-3276
Practice Fax: 480-505-3288

1285653477 — MS. MARY KAY BISSO PT
Practice Location Address:

3048 E BASELINE RD STE 125
MESA, AZ
85204-7288

Practice Phone: 602-313-4664
Practice Fax: 480-222-1457

1184955254 — DR. CLARON EVERETT BAILEY III PHD
Practice Location Address:

3048 E BASELINE RD STE 117
MESA, AZ
85204-7288

Practice Phone: 480-634-3807
Practice Fax:

1821545500 — CASEY D CUTLER DDS
Practice Location Address:

3048 E BASELINE RD STE 128
MESA, AZ
85204-7288

Practice Phone: 480-820-6080
Practice Fax:

Directions to “HOPE DIABETES CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.