Organization Active NPI

Zenith Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Mesa, AZ
National Provider Identifier
1619739562
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.