Organization Active NPI

Platinum Medical Group of Arizona LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1881065670
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PLATINUM MEDICAL GROUP OF ARIZONA LLC
Practice address
4722 E Ray Rd Ste 5
Phoenix, AZ 85044-6226
Phone
(480) 460-1399
Fax
(480) 460-1880
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Ms. Irasela Borquez, C.A., L.M.T.
Title
Office Manager/Financial Director
Phone
(480) 460-1399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4722 E Ray Rd Ste 5
Phoenix, AZ 85044-6226

Mailing address

4722 E Ray Rd Ste 5
Phoenix, AZ 85044-6226
Phone (480) 460-1399

Other practice location 1

8900 E Pinnacle Peak Rd Ste E5
Scottsdale, AZ 85255-3648
Phone (480) 460-1399

Other names 1

  • Life Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160706002773 AZ Part B Supplier - Clinic/Group Practice 0840582144 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

4722 E Ray Rd
Ste 5
Phoenix, AZ 85044
Phone (480) 460-1399

8900 E Pinnacle Peak Rd
Ste E5
Scottsdale, AZ 85255
Phone (480) 563-5000

Practitioners & affiliated clinicians

Practitioners 4

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1881065670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 E RAY RD STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446226",
            "telephone_number": "480-460-1399",
            "fax_number": "480-460-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 E RAY RD STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446226",
            "telephone_number": "480-460-1399",
            "fax_number": "480-460-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 E Pinnacle Peak Rd Ste E5",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852553648",
            "country_code": "US",
            "telephone_number": "480-460-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLATINUM MEDICAL GROUP OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "BORQUEZ",
        "authorized_official_first_name": "IRASELA",
        "authorized_official_title_or_position": "OFFICE MANAGER/FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "480-460-1399",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.A., L.M.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.