ARIZONA ESSENTIAL HOLISTIC CARE (NPI# 1497246482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497246482 |
| Entity Type | Organization |
| Organization Name | ARIZONA ESSENTIAL HOLISTIC CARE |
| Other Organization Name | ARIZONA ESSENTIAL HOLISTIC CARE |
| Practice Address |
5700 W Olive Ave Ste 102 Glendale AZ 85302 |
| Mailing Address |
5700 W Olive Ave Ste 102 Glendale AZ 85302-3147 |
| Practice Telephone | 6237386062 |
| Practice Fax Number | 6023549462 |
| Mailing Telephone | 6027386062 |
| Mailing Fax Number | 6023549462 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | ALODIA BANUELOS DOMINGO (PROVIDER/OWNER) |
| Authorized Official Telephone | 6237386062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AP5625 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | UNITED HEALTH CARE | 811065660 | 01 |
| Other Name | Type Code |
|---|---|
| Arizona Essential Holistic Care | Doing Business As Name - Organization |
| Arizona Essential Holistic Care, LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7200 W Bell Rd Bldg B, Glendale, AZ 853088529 | 6027386062 |
| Street Address |
5700 W OLIVE AVE STE 102 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881974731 | The Wellness and Prevention Center, LLC | Nurse Practitioner | 5700 W Olive Ave Ste 102, Glendale, AZ 85302-3147 | 2011-08-24 |
| 1114450962 | Jodi Lyn Lay | Pain Medicine | 5700 W Olive Ave Ste 102, Glendale, AZ 85302-3147 | 2017-04-09 |
| 1043635162 | Alodia Banuelos Domingo | Registered Nurse | 5700 W Olive Ave Ste 102, Glendale, AZ 85302 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967327 | Kristian Adair | Family Medicine | 7200 W Bell Rd Ste E102, Glendale, AZ 85308-8534 | 2020-06-24 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1053930248 | Shine Mmg Inc | Family Medicine | 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347 | 2020-04-08 |
| 1497381446 | Leonardo C Ortiz Md A Medical Corporation | Family Medicine | 2145 Ashington Dr, Glendale, CA 91206-1140 | 2020-03-20 |
| 1508498130 | Nare Stepanyan Md Inc | Family Medicine | 1030 S Glendale Ave Ste 503, Glendale, CA 91205-2820 | 2020-02-11 |
| 1194368530 | Carolyn Kathan | Family Medicine | 3732 W Charleston Ave, Glendale, AZ 85308-2708 | 2019-10-17 |
| 1932740966 | Starcare Homes LLC | Family Medicine | 9416 W Colter St, Glendale, AZ 85305-3373 | 2019-10-01 |
| 1871050559 | Mensa Family Clinic Inc | Family Medicine | 1110 S Glendale Ave Ste E, Glendale, CA 91205-5623 | 2019-02-28 |
| 1891279907 | Denise M Gomez | Family Medicine | 7200 W Bell Rd Unit 101, Glendale, AZ 85308-8529 | 2018-09-24 |
| 1427537299 | Brilliant Health Center Inc | Family Medicine | 1014 E Colorado St, Glendale, CA 91205-1226 | 2018-08-12 |
| Find all providers in GLENDALE | ||||
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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.