Organization Active NPI

Endeavor Providers LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1255276499
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ENDEAVOR PROVIDERS LLC
Practice address
9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986
Phone
(323) 333-1310
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Shafique Kakooza
Title
Member
Phone
(323) 333-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986

Mailing address

9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986
Phone (323) 333-1310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1255276499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606986",
            "telephone_number": "323-333-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606986",
            "telephone_number": "323-333-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "KAKOOZA",
        "authorized_official_first_name": "SHAFIQUE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-333-1310"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.