NPIMap

Organization Active NPI

Deer Valley Spine Center, LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1811940554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AZ 35194 Issued in AZ
Legal business name
DEER VALLEY SPINE CENTER, LLC
Practice address
2735 W Union Hills Dr
Phoenix, AZ 85027-5033
Phone
(602) 588-2225
Fax
(602) 588-2226
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacob Amrani II, MDNPI 1609829506
Title
President
Phone
(602) 588-2225

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
Clinic/Center 261Q00000X AZ 35194 AZ Primary

Addresses

Primary practice location

2735 W Union Hills Dr
Phoenix, AZ 85027-5033

Mailing address

2735 W Union Hills Dr
Phoenix, AZ 85027-5033
Phone (602) 588-2225

National Provider Directory

National Provider Directory

Locations

2735 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 588-2225

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811940554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 W UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275033",
            "telephone_number": "602-588-2225",
            "fax_number": "602-588-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 W UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275033",
            "telephone_number": "602-588-2225",
            "fax_number": "602-588-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER VALLEY SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMRANI",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-588-2225",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "AZ 35194",
            "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 Aug 22, 2020; 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.