NPIMap

Organization Active NPI

The Pain Center of Arizona, PC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1588077838
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
THE PAIN CENTER OF ARIZONA, PC
Practice address
3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2614
Phone
(623) 516-8252
Fax
(623) 241-6041
NPI assigned
Jun 4, 2014
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PAIN CENTER OF ARIZONA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Claudia Grijalva
Title
Credentialing
Phone
(623) 241-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2614

Mailing address

5281 N 99TH Ave
Suite 100
Glendale, AZ 85305-3105
Phone (623) 516-8252

Other names 1

  • Arcadia Other name

National Provider Directory

National Provider Directory
Tax ID family
The Pain Center of Arizona13 organizations share this tax ID, including this one
Part of
The Pain Center of Arizona

Other organizations with this tax ID 12

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": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1588077838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053105",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E CAMELBACK RD",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182614",
            "telephone_number": "623-516-8252",
            "fax_number": "623-241-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER OF ARIZONA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAIN CENTER OF ARIZONA, PC",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "GRIJALVA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "623-241-6152"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 16, 2014; 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.