Desert Ridge Medical Group Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DESERT RIDGE MEDICAL GROUP ANESTHESIA LLC

Practice address

21001 N Tatum Blvd Ste 78-1640
Phoenix, AZ 85050-5244

Phone

(602) 930-7800

Fax

(480) 926-2260

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Radman Rahiminejad

Title

Owner

Phone

(480) 926-7800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1295224913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 E GERMANN RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861575",
            "telephone_number": "480-926-7800",
            "fax_number": "480-926-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 78-1640",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850505244",
            "telephone_number": "602-930-7800",
            "fax_number": "480-926-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT RIDGE MEDICAL GROUP ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "RAHIMINEJAD",
        "authorized_official_first_name": "RADMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-926-7800"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Ridge Angic LLC
• Desert Ridge Facility LLC
• Desert Ridge Gastroenterology
• Desert Ridge Implant & Oral Surgery PC
• Desert Ridge Medical Group
• Desert Ridge Medical LLC
• Desert Ridge Oral,Facial & Implant Surgery, PLLC
• Desert Ridge Outpatient Surgery LLC
• Desert Ridge Pain Facility
• Desert Ridge Pediatric Dentistry

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.