PB Medical Group of Arizona, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PB MEDICAL GROUP OF ARIZONA, LLC

Practice address

3000 N 91St Ave
Phoenix, AZ 85037-4037

Phone

(480) 840-2588

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Alice Kuchinskas

Title

VP Payer Relations & Operations

Phone

(562) 303-9741

Specialties & licenses 1

Addresses

Tax ID family

PB Medical Group of Arizona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• PB Medical Group of Arizona, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1043797467
  NPD tax ID

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1780155077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214",
            "telephone_number": "847-329-4100",
            "fax_number": "847-329-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N 91ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374037",
            "telephone_number": "480-840-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB MEDICAL GROUP OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "KUCHINSKAS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "VP PAYER RELATIONS & OPERATIONS",
        "authorized_official_telephone_number": "562-303-9741"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jayne Payson, BHT
• Elana Payton, EDD
• Elizabeth Paz, ED.S.
• Ella Maria Paz
• Rosa Dalila Paz
• Sarkis Gevork Pchakjian, PHARM.D
• PD Ambulatory Pain Treatment Center, LLC
• Pda Holdings West, LLC
• Pda Holdings, LLC
• Janice Alesna Pe

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.