KALI DELZOMPO (NPI# 1346599446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346599446 |
Entity Type | Individual |
Full Name | KALI DELZOMPO |
Credential | PA-C |
Practice Address |
4515 S Mcclintock Dr Ste 100 Tempe AZ 85282-7376 |
Practice Telephone | 4808201133 |
Practice Fax Number | 4808202175 |
Mailing Telephone | 4808201133 |
Mailing Fax Number | 4808202175 |
Enumeration Date | 2012-09-05 |
Last Update Date | 2014-01-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5188 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4515 S MCCLINTOCK DR STE 100 |
City | TEMPE |
State | AZ |
Zip Code | 85282-7376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114921871 | Vibrantcare Outpatient Rehabilitation West Inc | Clinic/Center | 4515 S Mcclintock Dr, Ste 110, Tempe, AZ 85282-7381 | 2005-06-10 |
1376036038 | Tlk Management Corp | Home Health | 4515 S Mcclintock Dr, Tempe, AZ 85282-7376 | 2018-06-07 |
1962916429 | Brock Petri | Specialist/Technologist, Other | 4515 S Mcclintock Dr, Tempe, AZ 85282-7376 | 2017-11-20 |
1639611130 | Omni Dermatology Tempe LLC | Specialist | 4515 S Mcclintock Dr, Ste 101, Tempe, AZ 85282-7376 | 2016-11-15 |
1326406315 | Legacy Heart Care of Phoenix, LLC | Internal Medicine | 4515 S Mcclintock Dr, Ste 120, Tempe, AZ 85282-7376 | 2016-02-04 |
1336519230 | Phxrx, LLC | Pharmacy | 4515 S Mcclintock Dr, Ste 210, Tempe, AZ 85282-7376 | 2015-10-05 |
1538506373 | Bridget A Mercer | Occupational Therapist | 4515 S Mcclintock Dr, Tempe, AZ 85282-7376 | 2013-06-03 |
1386088904 | Angel Clinic LLC | Clinic/Center | 4515 S Mcclintock Dr, #120, Tempe, AZ 85282-7376 | 2013-04-25 |
1538408430 | Brightstar Care of Phoenix | Home Health | 4515 S Mcclintock Dr, Suite 203, Tempe, AZ 85282-7376 | 2013-02-12 |
1679716542 | Arizona Medical Vein Care, PC | Phlebology | 4515 S Mcclintock Dr, Suite 101, Tempe, AZ 85282-7376 | 2009-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
Find all providers in zip 85282 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194246223 | Jamie Ostdiek | Physician Assistant | 7505 S Mcclintock Dr Ste 103, Tempe, AZ 85283-5042 | 2017-06-28 |
1356731624 | Suzanne Strickland | Physician Assistant | 3141 S Mcclintock Dr Ste 1, Tempe, AZ 85282-5682 | 2015-01-26 |
1053695437 | Dana Roberts Cohen | Physician Assistant | 1315 W. Southern Ave, Tempe, AZ 85282 | 2011-10-04 |
1548410368 | Nicole Marie Lupica | Physician Assistant | 2402 E 5th St, 1485, Tempe, AZ 85281-3390 | 2008-09-29 |
1730207184 | Celia R Alvarez-reeder | Physician Assistant | 2033 E Warner Rd, Suite 109, Tempe, AZ 85284-3417 | 2007-03-26 |
1376635581 | Carissa Dawn Colgrove | Physician Assistant | 2720 W Baseline Rd # 140, Tempe, AZ 85283 | 2006-09-28 |
1689666844 | Shannon E Lunders | Physician Assistant | 433 W. Broadway Road, Tempe, AZ 85281 | 2005-08-15 |
1992312474 | Jamie Romero | Physician Assistant | 2033 E Warner Rd Ste 109, Tempe, AZ 85284-3417 | 2020-09-28 |
1598238651 | Mcclintock Medical Group, LLC | Physician Assistant | 1855 E Guadalupe Rd Ste 112, Tempe, AZ 85283-3269 | 2019-01-10 |
1801374913 | Emma Reeve | Physician Assistant | 2127 E Baseline Rd Ste 104, Tempe, AZ 85283-1537 | 2018-07-31 |
Find all providers in TEMPE |
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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.