SPECTRUM MEDICAL CARE CENTER (NPI# 1417433236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417433236 |
| Entity Type | Organization |
| Organization Name | SPECTRUM MEDICAL CARE CENTER |
| Practice Address |
52 E Monterey Way Ste A Phoenix AZ 85012-2628 |
| Practice Telephone | 4809304353 |
| Practice Fax Number | 4809304353 |
| Mailing Telephone | 4809304353 |
| Mailing Fax Number | 4809304353 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | JENNIFER ANN FRANKS-MITCHELL JAUREGUI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4809304353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
24745 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS | AZ0800990 | 01 |
| AZ | AZ LICENSE | 24745 | 01 |
| AZ | 382763 | 05 |
| Other Name | Type Code |
|---|---|
| Spectrum Medical | Doing Business As Name - Organization |
| Street Address |
52 E MONTEREY WAY STE A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1063685824 | Carriker Eye Center, PC | Clinic/Center | 502 W Northview Ave, Phoenix, AZ 85021-8742 | 2008-04-11 |
| 1942429923 | No Appointment Md | Clinic/Center | 12235 N Cave Creek Rd., Suite 9, Phoenix, AZ 85022 | 2007-04-25 |
| 1699015446 | Podolak Chiropractic Center LLC | Clinic/Center | 4131 W Thunderbird Rd, Phoenix, AZ 85053-5341 | 2013-02-15 |
| 1871846055 | Az Pain Specialists, LLC | Clinic/Center | 668 N 44th St, Suite 100-w, Phoenix, AZ 85008-6506 | 2012-10-24 |
| 1639460025 | Phoenix Spine Consultants | Clinic/Center | 19841 N 27th Ave, Suite 300a, Phoenix, AZ 85027-4003 | 2011-04-20 |
| 1508180043 | Providence General Medicine | Clinic/Center | 1701 W Glendale Ave, Phoenix, AZ 85021-9701 | 2010-03-25 |
| 1154651966 | Pediatric Endocrinology of Phoenix | Clinic/Center | 15600 N Black Canyon Hwy, Ste 102, Phoenix, AZ 85053-4055 | 2009-12-30 |
| 1770725913 | North Valley Head and Neck Surgery, LLC | Clinic/Center | 9327 N 3rd St, Suite 202, Phoenix, AZ 85020-2470 | 2009-04-02 |
| 1750523916 | Integrative Homeopathy, P.l.l.c. | Clinic/Center | 2001 W Camelback Rd, American Medical College of Homeopathy, Phoenix, AZ 85015-3466 | 2009-04-01 |
| Find all providers in PHOENIX | ||||
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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.