MARTIN ARELLANO M.D., P.C. (NPI# 1548705536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548705536 |
| Entity Type | Organization |
| Organization Name | MARTIN ARELLANO M.D., P.C. |
| Practice Address |
2040 W Bethany Home Rd Suite 108 Phoenix AZ 85015-2473 |
| Practice Telephone | 6022746463 |
| Practice Fax Number | 6022491282 |
| Mailing Telephone | 6022746463 |
| Mailing Fax Number | 6022491282 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | DR. MARTIN ARELLANO (SOLE PRACTITIONER & OWNER) |
| Authorized Official Telephone | 6022746463 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 21636 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 198839 | 05 |
| Street Address |
2040 W BETHANY HOME RD SUITE 108 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421426 | Shashi Jain Goel | Internal Medicine | 2040 W Bethany Home Rd, Suite 105, Phoenix, AZ 85015-2445 | 2005-07-19 |
| 1588044457 | First Class Medical Centers, PC | Family Medicine | 2040 W Bethany Home Rd, Phoenix, AZ 85015-2473 | 2015-06-04 |
| 1700122207 | Beth Bobier | Advanced Practice Midwife | 2040 W Bethany Home Rd, Suite 108, Phoenix, AZ 85015-2473 | 2013-01-02 |
| 1164636858 | Sherwin Mark Stradling | Technician/Technologist | 2040 W Bethany Home Rd, Suite 3, Phoenix, AZ 85015-2445 | 2007-05-10 |
| 1487796637 | Christa Corn, Md, Pllc | Surgery | 2040 W Bethany Home Rd, Suite 1, Phoenix, AZ 85015-2445 | 2007-02-13 |
| 1033256037 | Phoenix Family Medicine, PC | Family Medicine | 2040 W Bethany Home Rd, Suite #102, Phoenix, AZ 85015-2445 | 2007-01-31 |
| 1083770515 | Shashi Jain Goel Md PC Inc | Internal Medicine | 2040 W Bethany Home Rd, Suite #105, Phoenix, AZ 85015-2445 | 2006-12-29 |
| 1578629002 | Arizona Internists PC | Internal Medicine | 2040 W Bethany Home Rd, #104, Phoenix, AZ 85015-2445 | 2006-12-29 |
| 1497830533 | Hollis Edward Phillips | Family Medicine | 2040 W Bethany Home Rd, Suite 101, Phoenix, AZ 85015-2445 | 2006-10-26 |
| 1902988934 | Mark Kafka Phillips | Family Medicine | 2040 W Bethany Home Rd, Suite 101, Phoenix, AZ 85015-2445 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396450 | Mikala Edwards | Prevention Professional | 20806 N 31st Ave, Phoenix, AZ 85027-1729 | 2017-02-23 |
| 1386180081 | Ans Fitness and Physical Therapy, Pllc | Prevention Professional | 316 W Mcdowell Rd, Suite 201, Phoenix, AZ 85003-1377 | 2017-01-18 |
| 1912530668 | Electronic Caregiver Inc. | Prevention Professional | 16601 N 40th St Ste 218, Phoenix, AZ 85032-3356 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305817 | Annmarie Craig | Prevention Professional | 2900 W Darleen Dr, Flagstaff, AZ 86001-0700 | 2020-10-29 |
| 1437770997 | Ted Huntington | Prevention Professional | 1443 E Cindy St, Chandler, AZ 85225-5408 | 2020-05-06 |
| 1386185288 | Heathar Parisi, Rn | Prevention Professional | 9645 E Poinsettia Dr, Scottsdale, AZ 85260-5954 | 2017-03-13 |
| 1326579194 | Community Heath and Immunization Services, LLC | Prevention Professional | 8324 E Hartford Dr, Scottsdale, AZ 85255-5466 | 2017-03-23 |
| 1760923726 | Marcus Lewis | Prevention Professional | 1550 E University Dr, Suite G, Mesa, AZ 85203-8136 | 2017-03-10 |
| 1033658323 | Derrainnya Fuentes | Prevention Professional | 19935 E Chandler Heights Rd, Queen Creek, AZ 85142-9350 | 2017-02-20 |
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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.