Center of Integrative Medicine Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

48655 Issued in AZ

Legal business name

CENTER OF INTEGRATIVE MEDICINE CORP

Practice address

9070 E Desert Cove Ave Ste 102
Scottsdale, AZ 85260-6227

Phone

(713) 302-6420

Fax

(859) 344-5552

NPI assigned

Jul 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vinamra Jain, MDNPI 1427388925

Title

Owner

Phone

(713) 302-6420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Vinamra Kumar Jain, MD

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1427388925
  Authorized official Same address or phone

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710400502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE AVE STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "713-302-6420",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE AVE STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "713-302-6420",
            "fax_number": "859-344-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF INTEGRATIVE MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VINAMRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-302-6420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "48655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.