NPIMap

Organization Active NPI

Medical Clinic of Arizona, LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1629490149
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDICAL CLINIC OF ARIZONA, LLC
Practice address
6025 N 27TH Ave
Suite# 6
Phoenix, AZ 85017-1763
Phone
(602) 841-8273
NPI assigned
Jan 17, 2014
Last updated
Jan 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Alma S Beltran
Title
Ceo
Phone
(480) 289-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6025 N 27TH Ave
Suite# 6
Phoenix, AZ 85017-1763

Mailing address

6025 N 27TH Ave
Suite# 6
Phoenix, AZ 85017-1763
Phone (602) 841-8273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1629490149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 N 27TH AVE",
            "address_2": "SUITE# 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171763",
            "telephone_number": "602-841-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 N 27TH AVE",
            "address_2": "SUITE# 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171763",
            "telephone_number": "602-841-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-289-8464"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 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.