NPIMap

Organization Active NPI

Premise Health of Arizona Medical PC

  • Clinic/Center
  • Chandler, AZ
National Provider Identifier
1265735419
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMISE HEALTH OF ARIZONA MEDICAL PC
Practice address
4500 S Dobson Road
Chandler, AZ 85248-4907
Phone
(480) 715-6112
Fax
(480) 715-6481
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Edward Schwartz
Title
President
Phone
(844) 407-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4500 S Dobson Road
Chandler, AZ 85248-4907

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Phone (615) 468-6242

Other names 1

  • Intel Health for Life Center OC2 Doing business as

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
03D1088549Premise Health of Arizona Medical, PC4500 S Dobson Rd, Mail Stop Oc2-112, Chandler, AZ 85248Certificate of waiverAug 26, 2026
03D1101238Premise Health of Arizona Medical, PC4500 S Dobson Rd, Mail Stop - Oc8-207, Chandler, AZ 85248Certificate of waiverJun 22, 2027
03D2197911Premise Health of Arizona Medical, PC4500 S Dobson Rd, Ste 119, Chandler, AZ 85248Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of Arizona Medical PC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1265735419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993",
            "telephone_number": "615-468-6242",
            "fax_number": "615-468-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S DOBSON ROAD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484907",
            "telephone_number": "480-715-6112",
            "fax_number": "480-715-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF ARIZONA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intel Health for Life Center OC2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2026; 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.