Active NPI
White Cranes Medical Center Incorporated
Doing business as White Cranes Medical Center
- Allergy & Immunology Physician
- Tempe, AZ
National Provider Identifier
1437575545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 0995
- Legal business name
- WHITE CRANES MEDICAL CENTER INCORPORATED
- Doing business as
- White Cranes Medical Center
- Practice address
- 2050 S Cottonwood Dr
Tempe, AZ 85282-3014 - Phone
- (480) 704-4540
- NPI assigned
- Mar 13, 2014
- Last updated
- Aug 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jelina M Ip
- Title
- Administrator
- Phone
- (480) 704-4540
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 03-745 | AZ | |
| Allergy & Immunology Physician | 207K00000X | 0995 | AZ | Primary |
| Family Medicine Physician | 207Q00000X | 0995 | AZ | |
| Pediatrics Physician | 208000000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | |||
| General Practice Physician | 208D00000X | AZ | ||
| Pain Medicine Physician | 208VP0000X | 0995 | AZ |
Addresses
Primary practice location
2050 S Cottonwood Dr
Tempe, AZ 85282-3014
Mailing address
2050 S Cottonwood Dr
Tempe, AZ 85282-3014
Phone (480) 704-4540
Other names 1
- White Cranes Medical Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1164824900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408579200000",
"number": "1437575545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S COTTONWOOD DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852823014",
"telephone_number": "480-704-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 S COTTONWOOD DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852823014",
"telephone_number": "480-704-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE CRANES MEDICAL CENTER INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-13",
"last_updated": "2014-08-21",
"status": "A",
"authorized_official_last_name": "IP",
"authorized_official_first_name": "JELINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "480-704-4540"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": "AZ",
"license": "03-745",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "AZ",
"license": "0995",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "0995",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "0995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "White Cranes Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.