Organization Active NPI

Red Arrow Medical LLC

  • General Practice Physician
  • Peoria, AZ
National Provider Identifier
1174490767
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RED ARROW MEDICAL LLC
Practice address
8914 N 91St Ave Ste 105
Peoria, AZ 85345-8390
Phone
(888) 661-6011
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Mrs. Limy Fernandus, CNPNPI 1972005189
Title
Provider
Phone
(888) 661-6011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8914 N 91St Ave Ste 105
Peoria, AZ 85345-8390

Mailing address

4611 E Chandler Blvd Ste 112-1188
Phoenix, AZ 85048-0441
Phone (888) 661-6011

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2332916Red Arrow Medical LLC8914 N 91St Ave Ste 105, Peoria, AZ 85345Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

4611 E Chandler Blvd
Ste 1121188
Phoenix, AZ 85048

Practitioners & affiliated clinicians

Practitioners 1

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": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1174490767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E CHANDLER BLVD STE 112-1188",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480441",
            "telephone_number": "888-661-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 N 91ST AVE STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458390",
            "telephone_number": "888-661-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ARROW MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDUS",
        "authorized_official_first_name": "LIMY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "888-661-6011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.