Organization Active NPI

Paradise Patient Care, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1124569868
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
PARADISE PATIENT CARE, LLC
Practice address
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone
(623) 505-9880
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Liliana Perez
Title
Admin
Phone
(623) 505-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

19829 N 27TH Ave
Phoenix, AZ 85027-4001

Mailing address

3655 W Anthem Way
Suite A109 PMB 313
Anthem, AZ 85086-0430
Phone (623) 505-9880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1124569868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY",
            "address_2": "SUITE A109 PMB 313",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860430",
            "telephone_number": "623-505-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19829 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274001",
            "telephone_number": "623-505-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PATIENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "623-505-9880"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "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 Mar 14, 2017; 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.