Organization Active NPI

Royal Care Integrated Health LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1083300172
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROYAL CARE INTEGRATED HEALTH LLC
Practice address
648 N 5TH Ave
Phoenix, AZ 85003-1529
Phone
(614) 806-3075
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Deshawn White
Title
Executive Leadership
Phone
(614) 806-3075

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Dental Clinic/Center 261QD0000X
Adult Mental Health Clinic/Center 261QM0850X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

648 N 5TH Ave
Phoenix, AZ 85003-1529

Mailing address

5330 W Bowker St
Laveen, AZ 85339-2467
Phone (614) 806-3075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1083300172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 W BOWKER ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392467",
            "telephone_number": "614-806-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N 5TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031529",
            "telephone_number": "614-806-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CARE INTEGRATED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DESHAWN",
        "authorized_official_title_or_position": "EXECUTIVE LEADERSHIP",
        "authorized_official_telephone_number": "614-806-3075"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 12, 2023; 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.