NPIMap

Organization Active NPI

Planned Parenthood

  • Ambulatory Family Planning Facility
  • Phoenix, AZ
National Provider Identifier
1003061862
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
OTC4308 Issued in AZ
Legal business name
PLANNED PARENTHOOD
Practice address
2020 N 75TH Ave Ste 11
Phoenix, AZ 85035-3200
Phone
(623) 272-6691
Fax
(623) 209-9843
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha Pullen
Title
Interim Ceo/President
Phone
(480) 292-0023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X OTC4308 AZ Primary

Addresses

Primary practice location

2020 N 75TH Ave Ste 11
Phoenix, AZ 85035-3200

Mailing address

4751 N 15TH St
Phoenix, AZ 85014-3707

Other names 1

  • MARYVALE CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Arizona7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4616 N 51st Ave
Ste 210
Phoenix, AZ 85031

2020 N 75th Ave
Ste 11
Phoenix, AZ 85035
Phone (623) 209-9838

Interoperability endpoints

  • FHIR API: https://epicproxy.et1154.epichosted.com/FHIRProxy/api/FHIR/R4/

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1003061862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 N 15TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N 75TH AVE STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353200",
            "telephone_number": "623-272-6691",
            "fax_number": "623-209-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "INTERIM CEO/PRESIDENT",
        "authorized_official_telephone_number": "480-292-0023"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "AZ",
            "license": "OTC4308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYVALE CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MARYVALE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.