General Practice in PHOENIX, AZ
Last Updated on : Jan 05,2023
28TH STREET MEDICAL GROUP, LLC is a General Practice in PHOENIX, United States .
1447723598 is NPI number of 28TH STREET MEDICAL GROUP, LLC.
28TH STREET MEDICAL GROUP, LLC's primary taxonomy code based on NPI Lookup is 208D00000X with license number . This taxonomy code refers to General Practice.
28TH STREET MEDICAL GROUP, LLC current practice location address is 2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ. 28TH STREET MEDICAL GROUP, LLC can be reached out via phone at 602-840-0056 and via fax at 480-926-2260 .
You can also correspond with 28TH STREET MEDICAL GROUP, LLC through mail at mailing address PO BOX 6610, CHANDLER, AZ, United States. Mailing address contact number is 480-926-7800.
The enumeration date of 28TH STREET MEDICAL GROUP, LLC is 10-Jan-2019. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of 28TH STREET MEDICAL GROUP, LLC is RADMAN RAHIMINEJAD (Owner). RADMAN RAHIMINEJAD can be reached at 4809267800.Basic NPI information of 28TH STREET MEDICAL GROUP, LLC (NPI 1447723598) is provided below.
Name | 28TH STREET MEDICAL GROUP, LLC |
---|---|
National Provider Id (NPI) | 1447723598 |
Entity Type | Organization |
Practice Address | 2836 E INDIAN SCHOOL RD STE A8,
PHOENIX, AZ, United States |
Practice Telephone | 602-840-0056 |
Practice Fax Number | 480-926-2260 |
Mailing Address | PO BOX 6610 ,
CHANDLER, AZ, United States |
Mailing Telephone | 480-926-7800 |
Mailing Fax Number | 480-926-2260 |
Enumeration Date | 10-Jan-2019 |
Last Updated Date | 05-Jan-2023 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice |
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | ||
N | 208100000X | Physical Medicine & Rehabilitation | ||
N | 225100000X | Physical Therapist | ||
N | 363A00000X | Physician Assistant |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1730708017 | 1 SOURCE LABS AND MEDICAL SERVICES LLC | Point of Service | 2440 W MISSION LN STE 5,
PHOENIX, AZ, United States |
16-Apr-2020 |
1609500826 | 1 STEP TO YOUR SUCCESS | Clinic/Center, Mental Health (Including Community Mental Health Center) | 2616 W CARSON RD,
PHOENIX, AZ, United States |
13-Jul-2022 |
1770017535 | 1 UNITED TRANSPORTATION LLC | Non-emergency Medical Transport (VAN) | 3107 E HARTFORD AVE,
PHOENIX, AZ, United States |
18-Apr-2017 |
1407582430 | 100 CHIRO HELF PHOENIX LLC | Chiropractor | 15620 N TATUM BLVD STE 130,
PHOENIX, AZ, United States |
01-Aug-2022 |
1871227173 | 123 SERENITY THERAPY LLC | Assistant Behavior Analyst | 333 MEADOWOOD RD,
JACKSON, NJ, United States |
12-Jul-2022 |
1801369632 | 1514 BETHANY HOME MANAGEMENT, LLC | Case Management | 14362 N FRANK LLOYD WRIGHT BLVD STE 1000,
SCOTTSDALE, AZ, United States |
03-Jan-2019 |
1649411018 | 152W00000X - OPTOMETRIST NORTH PHOENIX EYE CARE | Optometrist | 19401 N CAVE CREEK RD,
#7 PHOENIX, AZ, United States |
16-Mar-2009 |
1184105850 | 15810 SOUTH 42ND STREET OPERATIONS LLC | Skilled Nursing Facility | 101 E STATE ST,
KENNETT SQUARE, PA, United States |
22-Aug-2018 |
1629535950 | 16TH STREET SURGERY CENTER, LLC | Clinic/Center, Ambulatory Surgical | 15333 N PIMA RD STE 305,
SCOTTSDALE, AZ, United States |
22-Feb-2019 |
1922354687 | 19TH AVENUE CLINIC | Clinic/Center, Urgent Care | PO BOX 32950,
PHOENIX, AZ, United States |
31-Jul-2012 |
1811244601 | 19TH AVENUE CLINIC LLC | Clinic/Center, Urgent Care | PO BOX 32950,
PHOENIX, AZ, United States |
10-Aug-2012 |
1154606945 | 19TH AVENUE CLINIC LLC | Clinic/Center, Urgent Care | 5201 N 19TH AVE STE 100,
PHOENIX, AZ, United States |
12-Oct-2011 |
1053667709 | 19TH AVENUE CLINIC LLC | Clinic/Center, Urgent Care | PO BOX 32950,
PHOENIX, AZ, United States |
31-Jul-2012 |
1225384985 | 19TH AVENUE CLINIC LLC | Clinic/Center, Urgent Care | PO BOX 32950,
PHOENIX, AZ, United States |
31-Jul-2012 |
1033466651 | 19TH AVENUE CLINIC LLC | Clinic/Center, Urgent Care | 2301 N 44TH ST,
PHOENIX, AZ, United States |
14-Aug-2012 |
1275889933 | 19TH AVENUE CLINIC LLC | Clinic/Center, Urgent Care | PO BOX 32950,
PHOENIX, AZ, United States |
31-Jul-2012 |
1407102163 | 19TH AVENUE CLINIC LLC | Clinic/Center, Urgent Care | PO BOX 32950,
PHOENIX, AZ, United States |
31-Jul-2012 |
1649627423 | 19TH AVENUE OPERATIONS, LLC | Assisted Living Facility | 1000 CORPORATE POINTE,
SUITE 100 CULVER CITY, CA, United States |
20-May-2016 |
1144826660 | 1ST ACCESS DENTAL LLP | Clinic/Center, Dental | 201 N CENTRAL AVE STE 1490,
PHOENIX, AZ, United States |
09-Dec-2020 |
1073746848 | 1ST CARE DIAGNOSTIC SERVICES | Clinic/Center, Radiology, Mobile | 637 E MAIN ST,
MESA, AZ, United States |
27-Aug-2009 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1447723598 is the NPI number of 28TH STREET MEDICAL GROUP, LLC.
Where is 28TH STREET MEDICAL GROUP, LLC located?28TH STREET MEDICAL GROUP, LLC is located at 2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ.
Field Name | Field Value |
---|---|
NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|