South Phoenix Prep and Arts Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOUTH PHOENIX PREP AND ARTS ACADEMY

Practice address

7450 S 40TH St
Phoenix, AZ 85042-6351

Phone

(602) 437-3331

NPI assigned

Mar 22, 2019

Organization subpart

No

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

Authorized official

Name

Nikki Ortega

Title

Credentialing

Phone

(800) 354-4881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1982164166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 S 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426351",
            "telephone_number": "602-437-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHOENIX PREP AND ARTS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "800-354-4881"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Mountain Family Psychiatry, LLC
• South Mountain Physical Therapy LLC
• South Mountain Rehabilitation P.C.
• South Mountain Surgery Center, LLC
• South Phoenix Integrity House LLC
• South Phoenix Veterans Group Home
• South Town Dental Care, Inc.
• South Valley Prep and Arts School
• South West Rheumatology PC
• Jenasee Loretta South

• Local Education Agency (LEA) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.