NPIMap

Organization Active NPI

PMM Healthcare

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1225275829
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
33819 Issued in AZ
Legal business name
PMM HEALTHCARE
Practice address
4660 W Thomas Rd
Ste-a
Phoenix, AZ 85031-3718
Phone
(602) 442-4500
Fax
(602) 442-4505
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Mr. Mark C Delalama, PA-CNPI 1801876214
Title
Office Facilitator
Phone
(602) 442-4500

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
Primary Care Clinic/Center 261QP2300X 33819 AZ Primary

Addresses

Primary practice location

4660 W Thomas Rd
Ste-a
Phoenix, AZ 85031-3718

Mailing address

4660 W Thomas Rd Ste a
Phoenix, AZ 85031-3718
Phone (602) 442-4500

National Provider Directory

National Provider Directory

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": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1225275829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 W THOMAS RD STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313718",
            "telephone_number": "602-442-4500",
            "fax_number": "602-442-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 W THOMAS RD",
            "address_2": "STE-A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313718",
            "telephone_number": "602-442-4500",
            "fax_number": "602-442-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "DELALAMA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE FACILITATOR",
        "authorized_official_telephone_number": "602-442-4500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "33819",
            "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 Jan 19, 2009; 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.