Mobile Care Direct, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOBILE CARE DIRECT, LLC

Practice address

5060 N 19TH Ave Ste 102
Phoenix, AZ 85015-3211

Phone

(480) 576-8283

Fax

(480) 434-6607

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Adam Bagley

Title

Manager

Phone

(808) 312-8059

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1164042404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MCDOWELL RD STE 107-437",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041549",
            "telephone_number": "480-576-8283",
            "fax_number": "480-434-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153211",
            "telephone_number": "480-576-8283",
            "fax_number": "480-434-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE DIRECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-312-8059"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam@mobilecaredirect.com",
            "affiliation": "N",
            "address_1": "5060 N 19th Ave Ste 102",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850153211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina J Mneimne
• Pouyan Moabed, OWNER
• Kirstin D Moaney
• Nima Moaven, DDS, MS
• Kayvon Moazam, DO
• Mobile Care Physicians LLC
• Mobile Care Physicians LLC
• Mobile Clinic John M Pierce MD Care2U
• Mobile Doc Alliance LLC
• Mobile Doctors of Arizona, LLC

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.