Arizona Biologic Infusion LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

ARIZONA BIOLOGIC INFUSION LLC

Practice address

604 W Warner Rd Ste C4
Chandler, AZ 85225-2906

Phone

(480) 372-8200

Fax

(480) 372-8222

NPI assigned

Jul 29, 2020

Organization subpart

Yes

Parent organization

ARIZONA ARTHRITIS CLINIC,PLLCAs reported in NPPES

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

Authorized official

Name

Mr. Amer Al-Khoudari, MD

Title

Medical Director

Phone

(480) 815-1100

Specialties & licenses 2

Addresses

Other identifiers 3

Part of

Arizona Arthritis Clinic

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Arizona Arthritis Clinic

  • Rheumatology Physician
  • Chandler, AZ
  • NPI 1033505755
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rita Gonzalez, DNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1386208510
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1639788284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-372-8200",
            "fax_number": "480-372-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-372-8200",
            "fax_number": "480-372-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BIOLOGIC INFUSION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA ARTHRITIS CLINIC,PLLC",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "AL-KHOUDARI",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-815-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069024",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002601",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092299",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Arthritis & Rheumatology Associates P C
• Arizona Arthritis Clinic
• Arizona Autism and Behavioral Consulting
• Arizona Autism United, Inc.
• Arizona Behavioral Counseling and Education Inc
• Arizona Care & Enrichment Services. Inc
• Arizona Center for Counseling & Psychotherapy Inc
• Arizona Center for Minimally Invasive Surgery LLC
• Arizona Childrens Group LLC
• Arizona Childrens Group LLC

• Rheumatology Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Rheumatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.