Organization Active NPI

Nima Sana DPM

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1174068647
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0795 Issued in AZ
Legal business name
NIMA SANA DPM
Practice address
5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649
Phone
(602) 343-2900
Fax
(602) 391-2080
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Martha Hernandez
Title
Office Director
Phone
(602) 343-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0795 AZ Primary

Addresses

Primary practice location

5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649

Mailing address

5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649
Phone (602) 343-2900

National Provider Directory

National Provider Directory
Tax ID family
Az Surgical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1174068647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N 44TH ST",
            "address_2": "SUITE L200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181649",
            "telephone_number": "602-343-2900",
            "fax_number": "602-391-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N 44TH ST",
            "address_2": "SUITE L200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181649",
            "telephone_number": "602-343-2900",
            "fax_number": "602-391-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMA SANA DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "602-343-2907"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0795",
            "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 Dec 20, 2016; 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.