Organization Active NPI

Adobe Medical Group Corp

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1841032992
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADOBE MEDICAL GROUP CORP
Practice address
2017 E Adobe St Ste 200
Mesa, AZ 85213-6740
Phone
(480) 269-0241
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Mikael Payan
Title
President/Director
Phone
(480) 269-0241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2017 E Adobe St Ste 200
Mesa, AZ 85213-6740

Mailing address

2017 E Adobe St Ste 200
Mesa, AZ 85213-6740

National Provider Directory

National Provider Directory

Locations

2017 E Adobe St
Ste 200
Mesa, AZ 85213
Phone (480) 269-0241

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1841032992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 E ADOBE ST STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E ADOBE ST STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136740",
            "telephone_number": "480-269-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "PAYAN",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "480-269-0241"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.