- Practice location
- 2836 E Indian School RD Ste A8, Phoenix, AZ 85016-6864
- Phone
- 602-840-0056
- Fax
- 480-926-2260
- Last updated
- January 5, 2023
28TH Street Medical Group, LLC is a healthcare organization based in Phoenix, AZ. 28TH Street Medical Group, LLC practices in Phoenix, AZ. The NPI Number for 28TH Street Medical Group, LLC is 1447723598. The current practice location address for 28TH Street Medical Group, LLC is 2836 E Indian School RD Ste A8, Phoenix, AZ 85016-6864 and can be reached out via phone at 602-840-0056 and via fax at 480-926-2260.
Provider Profile Details
- NPI Number
- 1447723598
- Provider Name
- 28TH Street Medical Group, LLC
- Provider Entity Type
- Organization
- Address
- 2836 E Indian School RD Ste A8, Phoenix, AZ 85016-6864
- Phone Number
- 602-840-0056
- Fax Number
- 480-926-2260
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Radman Rahiminejad · Owner · 480-926-7800
- Provider Enumeration Date
- January 10, 2019
- Last Update Date
- January 5, 2023
- Certification Date
- January 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2836 E Indian School RD Ste A8
Phoenix, AZ 85016-6864 - City
- Phoenix
- State
- Arizona
- Zip
- 85016-6864
- Phone Number
- 602-840-0056
- Fax Number
- 480-926-2260
Provider Business Mailing Address Details
- Address
- Po Box 6610
Chandler, AZ 85246-6610 - City
- Chandler
- State
- AZ
- Zip
- 85246-6610
- Phone Number
- 480-926-7800
- Fax Number
- 480-926-2260
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Physical Medicine & Rehabilitation · 208100000X
- Taxonomy (3)
- Physical Therapist · 225100000X
- Taxonomy (4)
- Physician Assistant · 363A00000X
- Taxonomy (5)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 28TH Street Medical Group, LLC?
The NPI number of 28TH Street Medical Group, LLC is 1447723598. It was assigned on January 10, 2019 and is currently active in the NPPES registry.
What is the specialty of 28TH Street Medical Group, LLC?
28TH Street Medical Group, LLC is registered under the primary taxonomy General Practice (code 208D00000X).
Where does 28TH Street Medical Group, LLC practice?
The practice location is 2836 E Indian School RD Ste A8, Phoenix, AZ 85016-6864. The office can be reached at 602-840-0056 (phone) or 480-926-2260 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447723598 directly on the NPPES registry website.