Ideal Physiques

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

IDEAL PHYSIQUES

Practice address

2980 N Hayden Rd
Scottsdale, AZ 85251-6615

Phone

(480) 305-6410

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Rodrigo Castillo

Title

Ceo

Phone

(480) 297-8505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1710527486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 E THOMPSON PEAK PKWY APT O2009",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516615",
            "telephone_number": "480-305-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9171 E Bell Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601572",
            "country_code": "US",
            "telephone_number": "480-447-6933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7355 E Thompson Peak Pkwy Apt O2009",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554260",
            "country_code": "US",
            "telephone_number": "480-297-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDEAL PHYSIQUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-297-8505"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haddar E Ichilov, P.T.
• Id Health PLLC
• Idaho Urgent Care Provider Network, LLC
• Ideal Dental Scottsdale PLLC
• Ideal Health Concepts, LLC
• Thomas Scott Idzorek, MD
• Momina Iftikhar, MD
• Lester Ignacio, NP
• Ignite Counseling and Equine Psychotherapy
• Ichiro Ikuta, M.D., M.M.SC.

• Health Maintenance Organization in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.