Health360 LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HEALTH360 LLC

Practice address

11333 N Scottsdale Rd Ste 115
Scottsdale, AZ 85254-5186

Phone

(480) 765-2800

Fax

(951) 272-9924

NPI assigned

Jan 15, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisette Martinez

Title

Manager

Phone

(928) 607-9537

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1619485430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545186",
            "telephone_number": "480-765-2800",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545186",
            "telephone_number": "480-765-2800",
            "fax_number": "951-272-9924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18275 N 59th Ave Ste 142",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081253",
            "country_code": "US",
            "telephone_number": "480-765-2800",
            "fax_number": "951-272-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-607-9537"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.