Organization Active NPI

Oasis Provider Solutions, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1174467153
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OASIS PROVIDER SOLUTIONS, LLC
Practice address
2828 N Central Ave Ste 1018
Phoenix, AZ 85004-1021
Phone
(781) 535-9709
NPI assigned
Apr 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Hassan Kyambadde
Title
Member
Phone
(781) 535-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2828 N Central Ave Ste 1018
Phoenix, AZ 85004-1021

Mailing address

2828 N Central Ave Ste 1018
Phoenix, AZ 85004-1021

National Provider Directory

National Provider Directory

Locations

2828 N Central Ave
Ste 1018
Phoenix, AZ 85004
Phone (781) 535-9709

NPI Registry JSON

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1174467153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N CENTRAL AVE STE 1018",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N CENTRAL AVE STE 1018",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041021",
            "telephone_number": "781-535-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PROVIDER SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "KYAMBADDE",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "781-535-9709"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Apr 18, 2026; 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.