Organization Active NPI

Brian Diep MD Inc

Doing business as Citrus Medical Clinic

  • Primary Care Clinic/Center
  • Chandler, AZ
National Provider Identifier
1841485489
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
261QP2300X Issued in AZ
Legal business name
BRIAN DIEP MD INC
Doing business as
Citrus Medical Clinic
Practice address
2051 W Warner Rd
Ste # 5
Chandler, AZ 85224-2100
Phone
(626) 488-7663
NPI assigned
Sep 6, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Brian Diep, MD
Title
Ceo
Phone
(626) 488-7663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 261QP2300X AZ Primary

Addresses

Primary practice location

2051 W Warner Rd
Ste # 5
Chandler, AZ 85224-2100

Mailing address

4892 E la Costa Dr
Chandler, AZ 85249-7109
Phone (619) 865-1821

Other identifiers 1

IdentifierTypeStateIssuer
975831MedicaidAZ

Other names 1

  • Citrus Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2051 W Warner Rd
Ste 5
Chandler, AZ 85224
Phone (480) 659-6695

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1841485489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4892 E LA COSTA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852497109",
            "telephone_number": "619-865-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W WARNER RD",
            "address_2": "STE # 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242100",
            "telephone_number": "626-488-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN DIEP MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-488-7663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "261QP2300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "975831",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2008; 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.