Organization Active NPI

Anneke Arellano MD, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1871619189
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30246 Issued in AZ
Legal business name
ANNEKE ARELLANO MD, LLC
Practice address
3301 N Miller Rd
138
Scottsdale, AZ 85251-6431
Phone
(480) 949-9333
Fax
(480) 949-9334
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Jennifer Maira
Title
Business Office Manager
Phone
(480) 949-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30246 AZ Primary

Addresses

Primary practice location

3301 N Miller Rd
138
Scottsdale, AZ 85251-6431

Mailing address

PO Box 40
Scottsdale, AZ 85252-0040
Phone (480) 949-9333

Other identifiers 1

IdentifierTypeStateIssuer
AZ0777070OtherAZBCBS OF AZ

National Provider Directory

National Provider Directory

Locations

3301 N Miller Rd
Ste 138
Scottsdale, AZ 85251
Phone (480) 646-8444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1871619189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852520040",
            "telephone_number": "480-949-9333",
            "fax_number": "480-949-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N MILLER RD",
            "address_2": "138",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516431",
            "telephone_number": "480-949-9333",
            "fax_number": "480-949-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEKE ARELLANO MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MAIRA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "480-949-9333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0777070",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.