NPIMap

Organization Active NPI

Wesley Community Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
National Provider Identifier
1487525754
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WESLEY COMMUNITY CENTER, INC
Practice address
810 South Central Avenue
Phoenix, AZ 85003
Phone
(602) 257-4323
Fax
(602) 257-4323
NPI assigned
Sep 17, 2025
Organization subpart
Yes
Parent organization
WESLEY COMMUNITY CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Blaine Bandi
Title
Chief Executive Officer
Phone
(602) 368-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

810 South Central Avenue
Phoenix, AZ 85003

Mailing address

1300 S 10TH St
Phoenix, AZ 85034-4598
Phone (602) 257-4323

National Provider Directory

National Provider Directory
Tax ID family
Wesley Community Center Inc6 organizations share this tax ID, including this one
Part of
Wesley Community Center Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1487525754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344598",
            "telephone_number": "602-257-4323",
            "fax_number": "602-257-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SOUTH CENTRAL AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85003",
            "telephone_number": "602-257-4323",
            "fax_number": "602-257-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY COMMUNITY CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESLEY COMMUNITY CENTER, INC",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "BANDI",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-368-9616"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "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 Sep 17, 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.