NPIMap

Organization Active NPI

One Health Primary Care LLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1326587213
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ONE HEALTH PRIMARY CARE LLC
Practice address
901 E Jefferson St
Phoenix, AZ 85034-2219
Phone
(602) 833-3199
Fax
(602) 833-3190
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Roger Farahmand
Title
Manager
Phone
(214) 212-8482

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Chiropractor 111N00000X NU
Internal Medicine Physician 207R00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

901 E Jefferson St
Phoenix, AZ 85034-2219

Mailing address

901 E Jefferson St
Phoenix, AZ 85034-2219
Phone (602) 833-3199

National Provider Directory

National Provider Directory

Locations

1619 N Dysart Rd
Ste 104
Avondale, AZ 85392
Phone (602) 833-3199

901 E Jefferson St
Phoenix, AZ 85034
Phone (602) 261-7888

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1326587213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342219",
            "telephone_number": "602-833-3199",
            "fax_number": "602-833-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342219",
            "telephone_number": "602-833-3199",
            "fax_number": "602-833-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HEALTH PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "FARAHMAND",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-212-8482"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.