NPIMap

Organization Active NPI

SRP Facility

  • Pain Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1801189519
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SRP FACILITY
Practice address
3330 N 2ND St
Suite 200
Phoenix, AZ 85012-2368
Phone
(602) 889-9880
NPI assigned
May 27, 2011
Last updated
May 27, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SRP FACILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Mr. Sanjay R Patel, MDNPI 1568550127
Title
Medical Director/Owner
Phone
(602) 889-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

3330 N 2ND St
Suite 200
Phoenix, AZ 85012-2368

Mailing address

PO Box 36395
Phoenix, AZ 85013-9998
Phone (602) 889-9880

National Provider Directory

National Provider Directory
Part of
SRP Facility

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1801189519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36395",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850139998",
            "telephone_number": "602-889-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122368",
            "telephone_number": "602-889-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRP FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRP FACILITY",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "602-889-9880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2011; 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.