Active NPI
Zenith Pain Management, LLC
- Interventional Pain Medicine Physician
- Mesa, AZ
National Provider Identifier
1619739562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ZENITH PAIN MANAGEMENT, LLC
- Practice address
- 420 E Southern Ave Ste 101B
Mesa, AZ 85204-4945 - Phone
- (602) 461-8222
- NPI assigned
- Jan 26, 2024
- Last updated
- Jan 26, 2024
- 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
- Dr. Jorge Gallardo, DC
- Title
- Owner
- Phone
- (480) 203-5632
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
420 E Southern Ave Ste 101B
Mesa, AZ 85204-4945
Mailing address
2929 N 75TH Ave Ste 15
Phoenix, AZ 85033-5443
Phone (480) 203-5632
Other practice location 1
4566 E Inverness Ave Ste 101
Mesa, AZ 85206-4633
Phone (602) 461-8222
Other practice location 2
4834 E Broadway Blvd
Tucson, AZ 85711-3610
Phone (602) 461-8222
National Provider Directory
National Provider DirectoryLocations
420 E Southern Ave
Ste 101B
Mesa, AZ 85204
Phone (602) 461-8222
2929 N 75th Ave
Ste 15
Phoenix, AZ 85033
Phone (602) 222-9595
4834 E Broadway Blvd
Tucson, AZ 85711
Phone (206) 551-0154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1619739562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 N 75TH AVE STE 15",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335443",
"telephone_number": "480-203-5632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E SOUTHERN AVE STE 101B",
"city": "MESA",
"state": "AZ",
"postal_code": "852044945",
"telephone_number": "602-461-8222"
}
],
"practiceLocations": [
{
"address_1": "4566 E Inverness Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852064633",
"country_code": "US",
"telephone_number": "602-461-8222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4834 E Broadway Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857113610",
"country_code": "US",
"telephone_number": "602-461-8222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ZENITH PAIN MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "GALLARDO",
"authorized_official_first_name": "JORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-203-5632",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.