Organization Active NPI

Personal Injury Care of Arizona LLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
National Provider Identifier
1407217409
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PERSONAL INJURY CARE OF ARIZONA LLC
Practice address
1345 E McKellips Rd
Suite 103
Mesa, AZ 85203-2721
Phone
(602) 899-4113
Fax
(877) 422-0832
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Dr. Bogdan Anghel, MD
Title
Manager
Phone
(480) 250-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1345 E McKellips Rd
Suite 103
Mesa, AZ 85203-2721

Mailing address

1345 E McKellips Rd
Suite 103
Mesa, AZ 85203-2721
Phone (602) 899-4113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1407217409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E MCKELLIPS RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032721",
            "telephone_number": "602-899-4113",
            "fax_number": "877-422-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E MCKELLIPS RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032721",
            "telephone_number": "602-899-4113",
            "fax_number": "877-422-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL INJURY CARE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "ANGHEL",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-250-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.