Allegiant Healthcare West, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ALLEGIANT HEALTHCARE WEST, LLC

Practice address

3130 E Broadway Rd
Mesa, AZ 85204-1740

Phone

(480) 924-7777

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Jake Weintraub

Title

Manager

Phone

(847) 933-9280

Specialties & licenses 1

Addresses

Practitioners 2

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

• Harish Nandipati, MD

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1265662928
  NPD (past)
• Mohammad Munzer Nasser, MD

  • Hospitalist Physician
  • Goodyear, AZ
  • NPI 1376835157
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1417407693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041740",
            "telephone_number": "480-924-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANT HEALTHCARE WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-933-9280"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mistelle Allan, NP
• Nicholas D Allan, D.M.D
• Veronica Allard, LPC
• Allegiant Healthcare Al, LLC
• Allegiant Healthcare East, LLC
• Allen Family Medicine PLLC
• Allen Foot and Ankle Medicine and Surgery PLC
• Allen Foot and Ankle Medicine and Surgery PLC
• Shireen Kay Allen-Lawson, DNP, FNP-C
• Angela R Allen-Zaugg, FNP-C

• Skilled Nursing Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.