MEDICARE: A AND C PRIMARY CARE

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1184553471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A AND C PRIMARY CARE

Provider Business Mailing Address
First Line	:	10240 N 31ST AVE STE 118
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9564
Country	:	US
Telephone Number	:	818-601-8016
Fax Number	:

Provider Business Practice Location Address
First Line	:	10240 N 31ST AVE STE 118
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9564
Country	:	US
Telephone Number	:	818-601-8016
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	CHRISTINE BARCELON
Credential	:
Telephone Number	:	818-601-8016

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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