NPIMap

Organization Active NPI

Arizona Medical Clinic Thomas Rd, LLC

Doing business as Arizona Medical Clinic

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1225893407
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARIZONA MEDICAL CLINIC THOMAS RD, LLC
Doing business as
Arizona Medical Clinic
Practice address
5140 E Thomas Rd
Phoenix, AZ 85018-7915
Phone
(602) 207-8400
Fax
(480) 588-2855
NPI assigned
Feb 16, 2024
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EPANGELIA PROPERTIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Linda Som, MDNPI 1477511764
Title
VP
Phone
(602) 274-2100

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5140 E Thomas Rd
Phoenix, AZ 85018-7915

Mailing address

1847 W Heatherbrae Dr
Phoenix, AZ 85015-4764
Phone (602) 274-2100

Other names 1

  • Arizona Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Arizna Medical Clinic LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1225893407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 W HEATHERBRAE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154764",
            "telephone_number": "602-274-2100",
            "fax_number": "602-535-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187915",
            "telephone_number": "602-207-8400",
            "fax_number": "480-588-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MEDICAL CLINIC THOMAS RD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPANGELIA PROPERTIES, LLC",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SOM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "602-274-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 16, 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.