NPIMap

Organization Active NPI

Colton Health Az, LLC

  • Medical Specialty Clinic/Center
  • Kingman, AZ
National Provider Identifier
1124635396
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COLTON HEALTH AZ, LLC
Practice address
890 Airway Ave
Kingman, AZ 86409-3588
Phone
(928) 681-1234
Fax
(928) 681-1811
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mr. Sukhjit Singh Ghuman
Title
Group Chairman and Ceo
Phone
(602) 702-3955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

890 Airway Ave
Kingman, AZ 86409-3588

Mailing address

9457 E Adobe Dr
Scottsdale, AZ 85255-5077
Phone (602) 702-3955

National Provider Directory

National Provider Directory

Locations

1755 Airway Ave
Kingman, AZ 86409
Phone (602) 757-2060

1945 Mesquite Ave
Unit Aa
Lake Havasu City, AZ 86403

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1124635396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9457 E ADOBE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555077",
            "telephone_number": "602-702-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093588",
            "telephone_number": "928-681-1234",
            "fax_number": "928-681-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTON HEALTH AZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "GHUMAN",
        "authorized_official_first_name": "SUKHJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "GROUP CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "602-702-3955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.