Organization Active NPI

Chandmed LLC

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1831841592
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHANDMED LLC
Practice address
5700 W Chandler Blvd Ste 3
Chandler, AZ 85226-3358
Phone
(480) 759-6192
NPI assigned
Jan 24, 2022
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Sandra Warskow
Title
Credentialling Manager
Phone
(602) 790-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5700 W Chandler Blvd Ste 3
Chandler, AZ 85226-3358

Mailing address

5700 W Chandler Blvd Ste 3
Chandler, AZ 85226-3358

National Provider Directory

National Provider Directory

Locations

5700 W Chandler Blvd
Chandler, AZ 85226

5700 W Chandler Blvd
Ste 3
Chandler, AZ 85226
Phone (480) 759-6192

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1831841592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263358",
            "telephone_number": "480-759-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "WARSKOW",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CREDENTIALLING MANAGER",
        "authorized_official_telephone_number": "602-790-8102"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.