Organization Active NPI

DV Anesthesia Group LLC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1073145801
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DV ANESTHESIA GROUP LLC
Practice address
21001 N Tatum Blvd Ste 78-1640
Phoenix, AZ 85050-5244
Phone
(480) 773-7662
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Minoo Rahimi
Title
Cfo
Phone
(480) 926-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

21001 N Tatum Blvd Ste 78-1640
Phoenix, AZ 85050-5244

Mailing address

2250 E Germann Rd Ste 8
Chandler, AZ 85286-1575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1073145801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 E GERMANN RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 78-1640",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850505244",
            "telephone_number": "480-773-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DV ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MINOO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-926-7800"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Feb 13, 2020; 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.