Palliative Care of Arizona

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PALLIATIVE CARE OF ARIZONA

Practice address

5110 N 40TH St
Suite 107
Phoenix, AZ 85018-2126

Phone

(602) 381-0375

Fax

(602) 381-0385

NPI assigned

Jul 16, 2012

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darren Bertram

Title

Ceo

Phone

(602) 381-0375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1205181211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N 40TH ST",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182126",
            "telephone_number": "602-381-0375",
            "fax_number": "602-381-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N 40TH ST",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182126",
            "telephone_number": "602-381-0375",
            "fax_number": "602-381-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-381-0375"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith H Paley, MD
• Candace Palfreeman, SLP-A
• Palilla Anesthesia PLLC
• Daniel Pallares, LMT
• Elijah Palles, LCSW
• Palliative Care of Az, LLC
• Margaret Zipporah Pallo, FNP
• Palm Dental PLLC
• Anisia Palm
• Jazmin Palma Leyva, RBT

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.