ANGEL CLINIC LLC (NPI# 1386088904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386088904 |
| Entity Type | Organization |
| Organization Name | ANGEL CLINIC LLC |
| Other Organization Name | ANGEL CLINIC 2U |
| Practice Address |
4515 S Mcclintock Dr #120 Tempe AZ 85282-7376 |
| Mailing Address |
Po Box 10548 Scottsdale AZ 85271-0548 |
| Practice Telephone | 6028520200 |
| Practice Fax Number | 6028520381 |
| Mailing Telephone | 6028520200 |
| Mailing Fax Number | 6028520381 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | MURALI TALLURI (OWNER) |
| Authorized Official Telephone | 6028520200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AZ | Ambulatory Health Care Facilities | |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Angel Clinic 2U | Doing Business As Name - Organization |
| Street Address |
4515 S MCCLINTOCK DR #120 |
| 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 |
| 1538408430 | Brightstar Care of Phoenix | Home Health | 4515 S Mcclintock Dr, Suite 203, Tempe, AZ 85282-7376 | 2013-02-12 |
| 1346599446 | Kali Delzompo | Physician Assistant | 4515 S Mcclintock Dr, Ste 100, Tempe, AZ 85282-7376 | 2012-09-05 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477104362 | Modern Recovery, LLC | Clinic/Center | 4820 S Mill Ave Ste 203, Tempe, AZ 85282-7734 | 2019-09-23 |
| 1306165519 | Home Health Care Services LLC | Clinic/Center | 2635 E Southern Ave, Tempe, AZ 85282-7672 | 2010-05-27 |
| 1245850189 | Yang Internal Medicine Service | Clinic/Center | 1500 S Mill Ave, Tempe, AZ 85281-6699 | 2020-04-21 |
| 1215187828 | Concentra Health Services, Inc. | Clinic/Center | 950 West Southern Avenue, Tempe, AZ 85282 | 2008-09-19 |
| 1952575698 | Db Medical | Clinic/Center | 4515 S Mcclintock Dr, Suite 120, Tempe, AZ 85282-7376 | 2008-04-14 |
| 1104025915 | Charles K Stermetz PC | Clinic/Center | 2133 E Warner Rd, Suite 102, Tempe, AZ 85284-3492 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865589 | Best Life Medical | Clinic/Center | 1011 W Elliot Rd, Gilbert, AZ 85233-5171 | 2020-09-15 |
| 1013547686 | Wesley Community Center Inc | Clinic/Center | 1510 S 19th Dr Ste 100, Phoenix, AZ 85009-6540 | 2020-01-22 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1114561107 | Vista Mobile Health, LLC | Clinic/Center | 10752 N 89th Pl # 104a-1, Scottsdale, AZ 85260-6730 | 2019-11-01 |
| 1063068898 | Ambest Family Health Clinics, Pllc | Clinic/Center | 4841 S Mesa Villas Dr Apt 3, Fort Mohave, AZ 86426-6436 | 2019-08-16 |
| 1073178133 | Tammy Lynn Undiemi | Clinic/Center | 27575 N 172nd Ln, Surprise, AZ 85387-1126 | 2019-05-04 |
| 1871058891 | Dental and Braces Maryvale LLC | Clinic/Center | 6702 W Camelback Rd Ste 100, Glendale, AZ 85303-6324 | 2019-02-04 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1346722196 | Community Bridges, Inc. | Clinic/Center | 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 | 2018-08-29 |
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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.