Glendale Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2809 Issued in AZ

Legal business name

GLENDALE MEDICAL CENTER

Practice address

1917 W Glendale Ave
Suite 11
Phoenix, AZ 85021-7861

Phone

(602) 995-9144

Fax

(602) 995-9563

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nasser Bagheri

Title

President

Phone

(602) 995-9144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346374543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 W GLENDALE AVE",
            "address_2": "SUITE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217861",
            "telephone_number": "602-995-9144",
            "fax_number": "602-995-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 W GLENDALE AVE",
            "address_2": "SUITE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217861",
            "telephone_number": "602-995-9144",
            "fax_number": "602-995-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-995-9144"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Glembocki, MD
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• Glenbo, LLC (Right at Home)
• Glendale Chiropractic PLLC
• Glendale Dentistry Group (Arizona Aesthetic Dentistry)
• Glendale Medical Center PLLC (Camelback Pain Centers)
• Glendale Medical Group LLC
• Glendale Medical Partners LLC (Camelback Medical Centers)
• Glendale Pediatrics LLC (Glendale Pediatrics & Family Care)
• Glendale RX Inc

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.