NPIMap

Organization Active NPI

Sahara Wellness Center LLC

  • Adult Mental Health Clinic/Center
  • Glendale, AZ
National Provider Identifier
1568040723
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SAHARA WELLNESS CENTER LLC
Practice address
5720 W Peoria Ave
Glendale, AZ 85302-1420
Phone
(602) 790-0070
NPI assigned
Mar 30, 2021
Organization subpart
Yes
Parent organization
SAHARA WELLNESS CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Gurminder (Simi) Purewal
Title
Owner
Phone
(623) 878-2100

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

5720 W Peoria Ave
Glendale, AZ 85302-1420

Mailing address

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762

Other identifiers 1

IdentifierTypeStateIssuer
OTC13468OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

Other names 1

  • Sahara Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240917003610 AZ Part B Supplier - Clinic/Group Practice 4486195542 Receives reassigned benefits from 8 practitioners
Practice locations: Glendale, AZ

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
03D2307354Sahara Wellness Center5720 W Peoria Ave Ste 102, Glendale, AZ 85302Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory
Part of
Sahara Wellness Center LLC

Locations

5720 W Peoria Ave
Ste 102
Glendale, AZ 85302
Phone (623) 400-9333

6677 W Thunderbird Rd
Ste 1164
Glendale, AZ 85306

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1568040723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021420",
            "telephone_number": "602-790-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHARA WELLNESS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHARA WELLNESS CENTER LLC",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "GURMINDER  (SIMI)",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-878-2100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "OTC13468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sahara Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.