GMC Healthcare PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GMC HEALTHCARE PLLC

Doing business as

GMC Healthcare

Practice address

10250 N 124TH St
Scottsdale, AZ 85259-5201

Phone

(602) 603-4660

Fax

(602) 860-6050

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Randy V. Mallari, PMHNP-BC, FNP-BCNPI 1306198429

Title

Administrator/ Provider

Phone

(602) 908-8580

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• GMC Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEIHDD

Practitioners 4

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

• Randy V. Mallari, PMHNP-BC/C, FNP-BC/C

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1306198429

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Colleen Marie Lemmer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1407489701
  Medicare reassignment Care Compare group NPD
• Jesse Cisneros Jimenez Jr., MSN, FNP-BC

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1124745260
  Medicare reassignment NPD
• David Michael Snipper, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1417925249

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1659153195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 N 124TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595201",
            "telephone_number": "602-603-4660",
            "fax_number": "602-860-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 124TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595201",
            "telephone_number": "602-603-4660",
            "fax_number": "602-860-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Queen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144130",
            "country_code": "US",
            "telephone_number": "480-400-0850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 3rd St",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970343081",
            "country_code": "US",
            "telephone_number": "480-400-0850",
            "fax_number": "480-591-8885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Lang Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094474",
            "country_code": "US",
            "telephone_number": "505-657-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GMC HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ADMINISTRATOR/ PROVIDER",
        "authorized_official_telephone_number": "602-908-8580",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "03D2299517",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205177",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GMC Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria M Cochran PHD PLC
• Taylor Glover
• Matt C Gloyd, DPT
• Marci E Gluck, PHD
• Shelley M Glynn, AGACNP-BC
• GNG Management Group Inc (Arizona Senior Living Homes)
• GNR Ventures, LLC
• Go Beyond Physical Therapy, LLC
• Go My Labs LLC
• Christian Michael Goble, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.