Premier Wound Care Az LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER WOUND CARE AZ LLC

Practice address

2836 E Indian School Rd Ste A8
Phoenix, AZ 85016-6864

Phone

(602) 840-0056

NPI assigned

Mar 25, 2025

Last updated

Apr 24, 2025By 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

Radman Rahiminejad

Title

Owner

Phone

(480) 926-7800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

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.

• Jennifer Garcia Rodriguez

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1184123788

  Single Specialty

  Medicare reassignment NPD
• Julie M Maloney, PA-C

  • Physician Assistant
  • Winslow, AZ
  • NPI 1376733279
  Medicare reassignment
• Yasmin Rahimi, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1346293057
  NPD (past)

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1710789227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6610",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466610",
            "telephone_number": "809-262-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 E INDIAN SCHOOL RD STE A8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166864",
            "telephone_number": "602-840-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOUND CARE AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "RAHIMINEJAD",
        "authorized_official_first_name": "RADMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-926-7800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Pain Specialists LLC
• Premier Pain Surgery Center, LLC
• Premier Physical Therapy Az, LLC
• Premier Surgical Suites LLC
• Premier Therapy Az, LLC
• Premier Wound Solutions LLC
• Premiere Medical Consultants
• Premise Health of Arizona Medical PC (Healthier You Clinic)
• Premise Health of Arizona Medical PC (Premise Health Care Center)
• Premise Health of Arizona Medical PC (PGTI Wellness Center)

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.