Organization Active NPI

Siloam LLC

  • Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1801717517
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SILOAM LLC
Practice address
9030 E Via Linda Ste 110
Scottsdale, AZ 85258-5402
Phone
(480) 334-5010
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Jung Eun Park, LACNPI 1215858915
Title
Owner
Phone
(480) 334-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9030 E Via Linda Ste 110
Scottsdale, AZ 85258-5402

Mailing address

9030 E Via Linda Ste 110
Scottsdale, AZ 85258-5402
Phone (480) 334-5010

National Provider Directory

National Provider Directory

Locations

9030 E Via Linda
Ste 110
Scottsdale, AZ 85258

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": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1801717517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 E VIA LINDA STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585402",
            "telephone_number": "480-334-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 E VIA LINDA STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585402",
            "telephone_number": "480-334-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNG EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-334-5010",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2026; 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.