Organization Active NPI

Favored Medical

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1255074142
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAVORED MEDICAL
Practice address
3522 E Flower St
Phoenix, AZ 85018-6279
Phone
(623) 322-0730
Fax
(623) 433-1309
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Kashuna HopkinsNPI 1316636590
Title
Owner
Phone
(623) 322-0730

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3522 E Flower St
Phoenix, AZ 85018-6279

Mailing address

3522 E Flower St
Phoenix, AZ 85018-6279
Phone (623) 322-0730

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL internet

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": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1255074142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186279",
            "telephone_number": "623-322-0730",
            "fax_number": "623-433-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186279",
            "telephone_number": "623-322-0730",
            "fax_number": "623-433-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "KASHUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-322-0730"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "internet",
            "affiliation": "N",
            "address_1": "3522 E Flower St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850186279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 18, 2022; 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.