LONGEVITY WELLNESS CLINIC OF ARIZONA (NPI# 1528600020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528600020 |
| Entity Type | Organization |
| Organization Name | LONGEVITY WELLNESS CLINIC OF ARIZONA |
| Practice Address |
3920 S Alma School Rd Ste 8 Chandler AZ 85248-4511 |
| Mailing Address |
Po Box 10456 Scottsdale AZ 85271-0456 |
| Practice Telephone | 4804531367 |
| Mailing Telephone | 4804531367 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | PAMELA ROBBINS (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4804531367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
3920 S ALMA SCHOOL RD STE 8 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679518906 | Az Internal Medicine Pllc | Internal Medicine | 3920 S Alma School Rd Ste 8, Chandler, AZ 85248-4511 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324244 | Smile Dental LLC | Clinic/Center | 1960 W Ray Rd Ste 2, Chandler, AZ 85224-9009 | 2019-09-06 |
| 1053979724 | Buena Vista Recovery, LLC | Clinic/Center | 3033 S Arizona Ave Ste 110, Chandler, AZ 85248-2717 | 2019-05-29 |
| 1942866629 | Zovio Chandler Health & Wellness Center | Clinic/Center | 1811 E Northrop Blvd, Chandler, AZ 85286-1874 | 2019-05-17 |
| 1124522958 | Jordan Oriental Medicine, LLC | Clinic/Center | 104 S. Stellar Park Way, Chandler, AZ 85226-8522 | 2018-03-19 |
| 1093259244 | Slimenvy, LLC | Clinic/Center | 265 N Federal St, Suite 101, Chandler, AZ 85226-3192 | 2016-12-07 |
| 1265735419 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 4500 S. Dodson Rd, Mailstop: Oc2-112, Chandler, AZ 85248-4907 | 2010-12-09 |
| 1932391299 | Catz Physical Therapy | Clinic/Center | 825 E Warner Rd Ste C-100, Chandler, AZ 85225-0994 | 2007-08-10 |
| 1104443365 | Wellspring Integrative Medicine Pllc | Clinic/Center | 50 S Kyrene Rd Ste 1, Chandler, AZ 85226-4683 | 2020-07-02 |
| 1184109662 | Oklahoma Mental Health Council | Clinic/Center | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2018-10-01 |
| 1013494327 | Joseph Mazzei Pllc | Clinic/Center | 3120 N Arizona Ave Ste 103, Chandler, AZ 85225-7160 | 2018-07-20 |
| Find all providers in CHANDLER | ||||
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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.