Individual provider Active NPI

George Mendez Morales, ND, PA-C

  • Naturopath
  • Phoenix, AZ
National Provider Identifier
1669703740
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
23-1794 Issued in AZ
Practice address
3143 N 32ND St
Phoenix, AZ 85018-6283
Phone
(602) 975-6244
NPI assigned
Jan 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 4765 AZ
Surgical Physician Assistant 363AS0400X 002429 CT
Naturopath 175F00000X 23-1794 AZ Primary

Addresses

Primary practice location

3143 N 32ND St
Phoenix, AZ 85018-6283

Mailing address

3143 N 32ND St
Phoenix, AZ 85018-6283
Phone (602) 975-6244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4765AZMDCounseling Psychologist
23-1794AZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Spine Institute, LLC Past Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1669703740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186283",
            "telephone_number": "602-975-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186283",
            "telephone_number": "602-975-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "GEORGE",
        "middle_name": "MENDEZ",
        "name_prefix": "Dr.",
        "credential": "ND, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4765",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "002429",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "23-1794",
            "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 Aug 22, 2023; 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.