Active NPI
Angela Arellano
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tempe, AZ
National Provider Identifier
1760160790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- OTC12623
- Practice address
- 1950 E Southern Ave Ste 103
Tempe, AZ 85282-7523 - Phone
- (602) 854-4674
- Fax
- (602) 805-0004
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | OTC12623 | AZ | Primary |
Addresses
Primary practice location
1950 E Southern Ave Ste 103
Tempe, AZ 85282-7523
Mailing address
1950 S. Southern Ave
Suite 103
Tempe, AZ 85282
Phone (602) 854-4674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTC12623 | AZ | MD | Magnetic Resonance Imaging (MRI) Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier MRI Clinics LLC | Current | Accepting new patients |
Locations
1950 E Southern Ave
Ste 103
Tempe, AZ 85282
Phone (602) 854-4674
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Tempe, AZ
- NPI 1265292874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1760160790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 S. SOUTHERN AVE",
"address_2": "SUITE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "602-854-4674",
"fax_number": "602-805-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E SOUTHERN AVE STE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827523",
"telephone_number": "602-854-4674",
"fax_number": "602-805-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "AZ",
"license": "OTC12623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.