Active NPI
Sag, LLC
Doing business as Center for pain control
- Interventional Pain Medicine Physician
- Phoenix, AZ
National Provider Identifier
1548597941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- SAG, LLC
- Doing business as
- Center for pain control
- Practice address
- 3306 W Roosevelt St
Phoenix, AZ 85009-3404 - Phone
- (602) 278-4930
- Fax
- (602) 269-7772
- NPI assigned
- Nov 6, 2009
- Last updated
- Sep 25, 2018
- 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
- Michelle Rehnberg
- Title
- Practice Administrator
- Phone
- (602) 889-9401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
3306 W Roosevelt St
Phoenix, AZ 85009-3404
Mailing address
4220 N 20TH Ave
Phoenix, AZ 85015-5124
Phone (602) 889-9401
Other names 1
- Center for pain control
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537833600000",
"number": "1548597941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 N 20TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850155124",
"telephone_number": "602-889-9401",
"fax_number": "602-889-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 W ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850093404",
"telephone_number": "602-278-4930",
"fax_number": "602-269-7772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-06",
"last_updated": "2018-09-25",
"status": "A",
"authorized_official_last_name": "REHNBERG",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "602-889-9401"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for pain control",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Center for pain control",
"code": "3",
"type": "Doing Business As"
}
]
}
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 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.