Organization Active NPI

Sag, LLC

Doing business as Center for pain control

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1548597941
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.