Organization Active NPI

Brian D Espinoza MD PC

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1235250135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25475 Issued in AZ
Legal business name
BRIAN D ESPINOZA MD PC
Practice address
1800 E Van Buren St
St Lukes Behavioral Health Ctr
Phoenix, AZ 85006-3742
Phone
(602) 251-8535
Fax
(602) 251-8707
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Daniel Espinoza, M.D.NPI 1568529683
Title
President
Phone
(602) 251-8535

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25475 AZ Primary

Addresses

Primary practice location

1800 E Van Buren St
St Lukes Behavioral Health Ctr
Phoenix, AZ 85006-3742

Mailing address

1800 E Van Buren St
St Lukes Behavioral Health Ctr
Phoenix, AZ 85006-3742
Phone (602) 251-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070502000652 AZ Part B Supplier - Clinic/Group Practice 1456457746 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ; Phoenix, AZ; Tempe, AZ

National Provider Directory

National Provider Directory
Tax ID family
Brian D Espinoza MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 E Bethany Home Rd
Ste A115
Phoenix, AZ 85012
Phone (602) 264-5684

Practitioners & affiliated clinicians

Practitioners 1

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235250135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "address_2": "ST LUKES BEHAVIORAL HEALTH CTR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8535",
            "fax_number": "602-251-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "address_2": "ST LUKES BEHAVIORAL HEALTH CTR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8535",
            "fax_number": "602-251-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D ESPINOZA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-251-8535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25475",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.