Organization Active NPI

Ciao Bella Medical Spa & Vein Clinic, P.L.C.

  • Phlebology Physician
  • Chandler, AZ
National Provider Identifier
1265610794
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
27016 Issued in AZ
Legal business name
CIAO BELLA MEDICAL SPA & VEIN CLINIC, P.L.C.
Practice address
2310 W Ray Rd
Suite 1
Chandler, AZ 85224-3516
Phone
(480) 686-8177
Fax
(480) 686-8425
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Edgardo Donato Zavala-Alarcon, M.D.
Title
Medical Director
Phone
(480) 686-8177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X 27016 AZ Primary

Addresses

Primary practice location

2310 W Ray Rd
Suite 1
Chandler, AZ 85224-3516

Mailing address

2310 W Ray Rd
Ste 1
Chandler, AZ 85224-3516
Phone (480) 686-8177

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2012443Ciao Bella Medical Spa & Vein Clinic2310 W Ray Rd, Chandler, AZ 85224Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory

Locations

2310 W Ray Rd
Ste 1
Chandler, AZ 85224
Phone (480) 686-8121

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1265610794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W RAY RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243516",
            "telephone_number": "480-686-8177",
            "fax_number": "480-686-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W RAY RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243516",
            "telephone_number": "480-686-8177",
            "fax_number": "480-686-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIAO BELLA MEDICAL SPA & VEIN CLINIC, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "ZAVALA-ALARCON",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "DONATO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-686-8177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "AZ",
            "license": "27016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.

Verify at the official NPI Registry.