Celeste Clinica LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CELESTE CLINICA LLC

Practice address

5111 N Scottsdale Rd Ste 143
Scottsdale, AZ 85250-7076

Phone

(415) 606-6678

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Yalda Fallahi

Title

Owner

Phone

(415) 606-6678

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1972385466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507076",
            "telephone_number": "415-606-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507076",
            "telephone_number": "415-606-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE CLINICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "FALLAHI",
        "authorized_official_first_name": "YALDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-606-6678"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.