Organization Active NPI

Anderson Spring Medical Group, LLC

  • General Practice Physician
  • Chandler, AZ
National Provider Identifier
1497228548
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ANDERSON SPRING MEDICAL GROUP, LLC
Practice address
1949 W Ray Rd Ste 23
Chandler, AZ 85224-4008
Phone
(480) 917-1720
Fax
(480) 926-2260
NPI assigned
Jan 10, 2019
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Radman RahiminejadNPI 1821040775
Title
Owner
Phone
(480) 926-7800

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Chiropractor 111N00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
General Practice Physician 208D00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

1949 W Ray Rd Ste 23
Chandler, AZ 85224-4008

Mailing address

PO Box 6610
Chandler, AZ 85246-6610
Phone (480) 926-7800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2153587Anderson Spring Medical Group LLC1949 W Ray Rd, Suite 23, Chandler, AZ 85224Certificate of waiverAug 27, 2026

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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1497228548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6610",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466610",
            "telephone_number": "480-926-7800",
            "fax_number": "480-926-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 W RAY RD STE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244008",
            "telephone_number": "480-917-1720",
            "fax_number": "480-926-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON SPRING MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "RAHIMINEJAD",
        "authorized_official_first_name": "RADMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-926-7800"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.