Organization Active NPI

Sunridge Medical Wellnes Center

  • Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1750604989
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
04-839 Issued in AZ
Legal business name
SUNRIDGE MEDICAL WELLNES CENTER
Practice address
14200 N Northsight Blvd
Suite 160
Scottsdale, AZ 85260-3947
Phone
(480) 659-9135
Fax
(800) 659-9035
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dr. Gioacchino Vincenzo Franco, NMD
Title
Medical Director
Phone
(480) 659-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 04-839 AZ Primary

Addresses

Primary practice location

14200 N Northsight Blvd
Suite 160
Scottsdale, AZ 85260-3947

Mailing address

14200 N Northsight Blvd
Suite 160
Scottsdale, AZ 85260-3947
Phone (480) 659-9135

Other identifiers 1

IdentifierTypeStateIssuer
04839OtherAZSTATE LICENSURE

National Provider Directory

National Provider Directory

Locations

14200 N Northsight Blvd
Ste 160
Scottsdale, AZ 85260
Phone (480) 659-9135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1750604989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 N NORTHSIGHT BLVD",
            "address_2": "SUITE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603947",
            "telephone_number": "480-659-9135",
            "fax_number": "800-659-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 N NORTHSIGHT BLVD",
            "address_2": "SUITE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603947",
            "telephone_number": "480-659-9135",
            "fax_number": "800-659-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRIDGE MEDICAL WELLNES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "GIOACCHINO",
        "authorized_official_middle_name": "VINCENZO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-659-9155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "04-839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "04839",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.