DESERT RIDGE FACILITY LLC (NPI# 1194214809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194214809 |
Entity Type | Organization |
Organization Name | DESERT RIDGE FACILITY LLC |
Practice Address |
21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 |
Mailing Address |
2250 E Germann Rd Ste 8 Chandler AZ 85286-1575 |
Practice Telephone | 4809267800 |
Practice Fax Number | 4809262260 |
Mailing Telephone | 4809267800 |
Mailing Fax Number | 4809262260 |
Enumeration Date | 2018-05-08 |
Last Update Date | 2020-02-11 |
Authorized Official Name | MINOO RAHIMI (MANAGER) |
Authorized Official Telephone | 4809267800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
21001 N TATUM BLVD STE 78-1640 |
City | PHOENIX |
State | AZ |
Zip Code | 85050-5244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
1427674118 | Matthew Robert Lemke | Physical Therapist | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-06-18 |
1073145801 | Dv Anesthesia Group LLC | Anesthesiology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
1629600440 | Dv Pain Ventures LLC | Clinic/Center | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
1083246805 | Dv Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
1043850324 | Tatum Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
1649810920 | Tatum Anesthesia Group LLC | Anesthesiology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
1790325066 | Tatum Pain Ventures LLC | Clinic/Center | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
1982255246 | Drps Iom Technical LLC | Psychiatry & Neurology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2019-09-26 |
1225689581 | Drps Iom Professional LLC | Psychiatry & Neurology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2019-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
Find all providers in zip 85050 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1336756592 | Pinnacle Asc LLC | Clinic/Center | 3329 E Bell Rd # A2-a5, Phoenix, AZ 85032-2756 | 2020-09-30 |
1053927210 | Gila River Surgical Center LLC | Clinic/Center | 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274 | 2020-09-22 |
1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
1275198673 | Urology Asc- Phoenix, LLC | Clinic/Center | 1313 E Osborn Rd Ste 170b, Phoenix, AZ 85014-5678 | 2019-05-01 |
1053974592 | Maryvale Facility Group LLC | Clinic/Center | 7141 W Thomas Rd Ste 102, Phoenix, AZ 85033-5518 | 2019-04-19 |
1831669522 | Cureteck Pain Center | Clinic/Center | 702 E Bell Rd Ste 103, Phoenix, AZ 85022-6648 | 2018-11-26 |
1194292730 | North Valley Pain Center Pllc | Clinic/Center | 15650 N Black Canyon Hwy # B121, Phoenix, AZ 85053-4064 | 2018-11-01 |
1578058897 | Uptown Surgery Center, LLC | Clinic/Center | 5133 N Central Ave Ste 200, Phoenix, AZ 85012-1438 | 2018-06-28 |
1083104186 | Valley Surgical Center LLC | Clinic/Center | 15601 N 28th Ave Ste 101, Phoenix, AZ 85053-4061 | 2018-05-14 |
1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.