Active NPI
Salubrious Health Care PC
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1154429694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3212
- Legal business name
- SALUBRIOUS HEALTH CARE PC
- Practice address
- 5501 N 19TH Ave
218
Phoenix, AZ 85015-2450 - Phone
- (602) 242-1221
- Fax
- (623) 915-0280
- NPI assigned
- Sep 20, 2006
- 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
- Seth Foster Easley III, DO
- Title
- President
- Phone
- (602) 242-1221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3212 | AZ | Primary |
Addresses
Primary practice location
5501 N 19TH Ave
218
Phoenix, AZ 85015-2450
Mailing address
5501 N 19TH Ave
218
Phoenix, AZ 85015-2450
Phone (602) 242-1221
National Provider Directory
National Provider DirectoryLocations
5501 N 19th Ave
Ste 218
Phoenix, AZ 85015
Phone (602) 242-1221
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1396789830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154429694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 N 19TH AVE",
"address_2": "218",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152450",
"telephone_number": "602-242-1221",
"fax_number": "623-915-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 N 19TH AVE",
"address_2": "218",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152450",
"telephone_number": "602-242-1221",
"fax_number": "623-915-0280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALUBRIOUS HEALTH CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EASLEY",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "FOSTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-242-1221",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "3212",
"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 Aug 22, 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.