Organization Active NPI

Az Med Group LLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1336667807
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
AZ MED GROUP LLC
Practice address
10605 N Hayden Rd Ste G110
Scottsdale, AZ 85260-5505
Phone
(602) 237-6340
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Thomas Moshiri
Title
Administrator
Phone
(602) 441-3573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

10605 N Hayden Rd Ste G110
Scottsdale, AZ 85260-5505

Mailing address

130 S Val Vista Dr Ste 102
Gilbert, AZ 85296-1363
Phone (602) 354-5310

Other practice location 1

6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750
Phone (602) 237-6340

National Provider Directory

National Provider Directory

Locations

130 S Val Vista Dr
Ste 102
Gilbert, AZ 85296
Phone (480) 361-9086

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1336667807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S VAL VISTA DR STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961363",
            "telephone_number": "602-354-5310",
            "fax_number": "480-361-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 N HAYDEN RD STE G110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605505",
            "telephone_number": "602-237-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6424 E Broadway Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061750",
            "country_code": "US",
            "telephone_number": "602-237-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZ MED GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MOSHIRI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-441-3573"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "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 Feb 24, 2022; 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.