NPIMap

Organization Active NPI

Arizona Primary Care & Regenerative Medicine LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1952945313
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ARIZONA PRIMARY CARE & REGENERATIVE MEDICINE LLC
Practice address
1611 W Silver Pine Dr
Phoenix, AZ 85086-1930
Phone
(602) 206-2885
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Tina Driskell
Title
Credentialing
Phone
(727) 287-6300

Specialties & licenses 1

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

Addresses

Primary practice location

1611 W Silver Pine Dr
Phoenix, AZ 85086-1930

Mailing address

PO Box 1685
Palm Harbor, FL 34682-1685

National Provider Directory

National Provider Directory

Locations

1515 W Deer Valley Rd
Ste B106
Phoenix, AZ 85027
Phone (623) 248-4025

9330 E Poinsettia Dr
Ste 101
Scottsdale, AZ 85260

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1952945313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1685",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346821685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W SILVER PINE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850861930",
            "telephone_number": "602-206-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PRIMARY CARE & REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "DRISKELL",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "727-287-6300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Oct 29, 2019; 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.