Organization Active NPI

Arizona Lung Clinic PLLC

  • Pulmonary Disease Physician
  • Surprise, AZ
National Provider Identifier
1811752678
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ARIZONA LUNG CLINIC PLLC
Practice address
13657 W McDowell Rd
Ste #210
Surprise, AZ 85338
Phone
(623) 242-9830
Fax
(623) 249-5181
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIZONA LUNG CLINIC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Andres Julian Aranda
Title
Credentialing
Phone
(623) 440-3136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

13657 W McDowell Rd
Ste #210
Surprise, AZ 85338

Mailing address

PO Box 8270
Surprise, AZ 85374-0121

National Provider Directory

National Provider Directory
Tax ID family
Arizona Lung Clinic PLLC2 organizations share this tax ID, including this one
Part of
Arizona Lung Clinic PLLC

Other organizations with this tax ID 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1811752678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8270",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13657 W MCDOWELL RD",
            "address_2": "STE #210",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-242-9830",
            "fax_number": "623-249-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA LUNG CLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA LUNG CLINIC PLLC",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "ARANDA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "623-440-3136"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.