Organization Active NPI

Az Mobile Health LLC

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1477379964
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
AZ MOBILE HEALTH LLC
Practice address
101 N 1St Ave Ste 2325
Phoenix, AZ 85003-1933
Phone
(602) 518-5866
Fax
(480) 718-8857
NPI assigned
Nov 29, 2024
Last updated
Jan 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Authorized official

Name
Seth D Hanson, PA-CNPI 1013695295
Title
Owner
Phone
(602) 577-1256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

101 N 1St Ave Ste 2325
Phoenix, AZ 85003-1933

Mailing address

4111 N 21St St Apt 120
Phoenix, AZ 85016-6164
Phone (602) 577-1256

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1477379964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 N 21ST ST APT 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166164",
            "telephone_number": "602-577-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 1ST AVE STE 2325",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031933",
            "telephone_number": "602-518-5866",
            "fax_number": "480-718-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MOBILE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-577-1256",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.