NPIMap

Organization Active NPI

I Am Wellness Az LLC

Doing business as Success Care

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1730918434
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
I AM WELLNESS AZ LLC
Doing business as
Success Care
Practice address
3336 N 32ND St Ste 106
Phoenix, AZ 85018-6241
Phone
(480) 900-9355
NPI assigned
Jul 31, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
I AM WELLNESS AZ LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Sara Ratner
Title
President, Government Programs
Phone
(480) 900-9355

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Clinic/Center 261Q00000X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

3336 N 32ND St Ste 106
Phoenix, AZ 85018-6241

Mailing address

898 N 1200 W Ste 201
Orem, UT 84057-3558
Phone (385) 499-5349

Other names 1

  • Success Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
I Am Wellness Az LLC5 organizations share this tax ID, including this one
Part of
I Am Wellness Az LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3336 N 32nd St
Phoenix, AZ 85018

3336 N 32nd St
Ste 106
Phoenix, AZ 85018
Phone (480) 900-9355

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1730918434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 N 1200 W STE 201",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573558",
            "telephone_number": "385-499-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 N 32ND ST STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186241",
            "telephone_number": "480-900-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM WELLNESS AZ LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I AM WELLNESS AZ LLC",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "RATNER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT, GOVERNMENT PROGRAMS",
        "authorized_official_telephone_number": "480-900-9355"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Success Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 2024; 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.