Active NPI
Jose Griego
- Local Education Agency (LEA)
- Glendale, AZ
National Provider Identifier
1194937029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Practice address
- 4650 W. Sweetwater
Glendale, AZ 85304-1505 - Phone
- (602) 347-2600
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
4650 W. Sweetwater
Glendale, AZ 85304-1505
Mailing address
1201 E Northshore Dr Unit 224
Tempe, AZ 85283-1401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036269 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194937029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 E NORTHSHORE DR UNIT 224",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W. SWEETWATER",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041505",
"telephone_number": "602-347-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIEGO",
"first_name": "JOSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036269",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.