Active NPI
Pinnacle Outpatient Surgical Institute, LLC
- Ambulatory Surgical Clinic/Center
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PINNACLE OUTPATIENT SURGICAL INSTITUTE, LLC
- Practice address
- 4812 S Mill Ave
Tempe, AZ 85282-6730 - Phone
- (716) 491-8210
- NPI assigned
- Oct 9, 2024
- Last updated
- Oct 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hekmat Hakiman, MD
- Title
- Manager
- Phone
- (716) 491-8210
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4812 S Mill Ave
Tempe, AZ 85282-6730
Mailing address
4812 S Mill Ave
Tempe, AZ 85282-6730
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2314815 | Pinnacle Outpatient Surgical Institute, LLC | Certificate of waiver | Nov 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
4812 S Mill Ave
Tempe, AZ 85282
Phone (480) 878-3005
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1255150876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 S MILL AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 S MILL AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826730",
"telephone_number": "716-491-8210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE OUTPATIENT SURGICAL INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "HAKIMAN",
"authorized_official_first_name": "HEKMAT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "716-491-8210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.