Active NPI
Arizona Arthritis Clinic
- Rheumatology Physician
- Chandler, AZ
National Provider Identifier
1033505755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- ARIZONA ARTHRITIS CLINIC
- Practice address
- 604 W Warner Rd Ste C1
Chandler, AZ 85225-2915 - Phone
- (480) 372-8200
- Fax
- (480) 372-8222
- NPI assigned
- Apr 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Azelea Enciso, AO
- Title
- Manager
- Phone
- (480) 582-1568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
604 W Warner Rd Ste C1
Chandler, AZ 85225-2915
Mailing address
604 W Warner Rd Ste C1
Chandler, AZ 85225-2915
Phone (480) 372-8200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092299 | Medicaid | AZ | |
| 1033505755 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
4035 W Chandler Blvd
Chandler, AZ 85226
4035 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 372-8200
7650 S McClintock Dr
Tempe, AZ 85284
Interoperability endpoints
- https://api.platform.athenahealth.com/14673/brand/1/csg/1/fhir/r4
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Rheumatology Physician
- Chandler, AZ
- NPI 1639788284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1033505755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 W WARNER RD STE C1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852252915",
"telephone_number": "480-372-8200",
"fax_number": "480-372-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 W WARNER RD STE C1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852252915",
"telephone_number": "480-372-8200",
"fax_number": "480-372-8222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA ARTHRITIS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-09",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "ENCISO",
"authorized_official_first_name": "AZELEA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-582-1568",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "AO"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092299",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1033505755",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
- Arizona Advanced Therapy
- Arizona Advanced Therapy, LLC
- Arizona Allergy Asthma & Immunology Consultants PLC
- Arizona Alternative Support Center LLC
- Arizona Arthritis & Rheumatology Associates P C
- Arizona Autism and Behavioral Consulting
- Arizona Autism United, Inc.
- Arizona Behavioral Counseling and Education Inc
- Arizona Biologic Infusion LLC
- Arizona Care & Enrichment Services. Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.