NPIMap

Organization Active NPI

Medical Group LTD.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1003071358
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3848 Issued in AZ
Legal business name
MEDICAL GROUP LTD.
Practice address
3125 N 32ND St
Suite 110
Phoenix, AZ 85018-6281
Phone
(602) 956-9838
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Luis Tan, M.D.
Title
Dr.
Phone
(602) 956-9838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3848 AZ Primary

Addresses

Primary practice location

3125 N 32ND St
Suite 110
Phoenix, AZ 85018-6281

Mailing address

3125 N 32ND St
Suite 110
Phoenix, AZ 85018-6281
Phone (602) 956-9838

National Provider Directory

National Provider Directory

Locations

3125 N 32nd St
Ste 110
Phoenix, AZ 85018
Phone (602) 956-9838

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1003071358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "602-956-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 2008; 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.