Gilbert Integrative Medical Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GILBERT INTEGRATIVE MEDICAL CENTER INC

Practice address

2451 E Baseline Rd
Gilbert, AZ 85234-2471

Phone

(480) 304-5152

Fax

(480) 603-4147

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Raquel Martinez

Title

Credentialing

Phone

(480) 236-8840

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassie Lynn Pettit, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1396314894
  Medicare reassignment NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1346956034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-304-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-304-5152",
            "fax_number": "480-603-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT INTEGRATIVE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "480-236-8840"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Family Chiropractic
• Gilbert Family Eyecare
• Gilbert Family Medicine Keith
• Gilbert Health Center LLC
• Gilbert Individual & Family Therapy, PLLC
• Gilbert Internal Medicine LLC
• Gilbert Kidtastic Dental LLC
• Gilbert Medical Group LLC
• Gilbert Modern Dentistry and Orthodontics, LLP
• Gilbert Neurology Partners PLLC

• Health Service Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.