Organization Active NPI

Onepeak Medical Mountain West PLLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1922916576
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONEPEAK MEDICAL MOUNTAIN WEST PLLC
Practice address
3800 N Central Ave Ste 460
Phoenix, AZ 85012-1995
Phone
(541) 930-8545
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Karissa B Stults, STULTS
Title
VP of Billing and Contracting
Phone
(541) 930-8545

Specialties & licenses 1

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

Addresses

Primary practice location

3800 N Central Ave Ste 460
Phoenix, AZ 85012-1995

Mailing address

2040 Commerce Dr
Medford, OR 97504-9744
Phone (541) 930-8545

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1922916576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 COMMERCE DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049744",
            "telephone_number": "541-930-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N CENTRAL AVE STE 460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121995",
            "telephone_number": "541-930-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEPEAK MEDICAL MOUNTAIN WEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "STULTS",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP OF BILLING AND CONTRACTING",
        "authorized_official_telephone_number": "541-930-8545",
        "authorized_official_credential": "STULTS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.