Spectrum Dialysis Az Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SPECTRUM DIALYSIS AZ INC

Practice address

10250 N 92ND St Ste 118
Scottsdale, AZ 85258-4518

Phone

(818) 342-3012

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eyal Shtorch, MDNPI 1942395603

Title

Owner

Phone

(818) 342-3012

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Eyal Shtorch, MD

  • Nephrology Physician
  • Reseda, CA
  • NPI 1942395603
  NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1902687197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18040 SHERMAN WAY STE 210",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354656",
            "telephone_number": "818-342-3012",
            "fax_number": "818-342-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584518",
            "telephone_number": "818-342-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM DIALYSIS AZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "SHTORCH",
        "authorized_official_first_name": "EYAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-342-3012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Spectrum College Transition Program
• Spectrum Dermatology, PLLC
• Alice Chieh Ju Speed, MD
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• Emilia G. Speer, FNP
• Lisa Jennifer Speiser, D.O.
• Philip John Spelson, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.