NPIMap

Organization Active NPI

The Pain Center of Arizona, PC

  • Non-Pharmacy Dispensing Site
  • Peoria, AZ
National Provider Identifier
1194138545
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
THE PAIN CENTER OF ARIZONA, PC
Practice address
9401 W Thunderbird Rd
Suite 180
Peoria, AZ 85381-4233
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Jun 3, 2014
Organization subpart
Yes
Parent organization
THE PAIN CENTER OF ARIZONA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Claudia Grijalva
Title
Credentialing
Phone
(623) 241-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X AZ Primary

Addresses

Primary practice location

9401 W Thunderbird Rd
Suite 180
Peoria, AZ 85381-4233

Mailing address

5281 N 99TH Ave
Suite 100
Glendale, AZ 85305-3105
Phone (623) 516-8252

Other names 1

  • Peoria Other name

National Provider Directory

National Provider Directory
Tax ID family
The Pain Center of Arizona PC13 organizations share this tax ID, including this one
Part of
The Pain Center of Arizona PC

Other organizations with this tax ID 12

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1194138545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053105",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD",
            "address_2": "SUITE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814233",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER OF ARIZONA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAIN CENTER OF ARIZONA, PC",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "GRIJALVA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "623-241-6152"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoria",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 3, 2014; 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.