28TH Street Medical Group, LLC
General Practice in Phoenix, Arizona
1447723598- 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. The NPI number for 28TH Street Medical Group, LLC is 1447723598. The current practice location address is 2836 E Indian School RD Ste A8, Phoenix, AZ 85016-6864 and the office can be reached by phone at 602-840-0056 and by fax at 480-926-2260. The NPI was assigned on January 10, 2019 and the record was last updated in NPPES on January 5, 2023.
●Provider Profile Details
- NPI Number
- 1447723598
- Provider Name
- 28TH Street Medical Group, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Radman Rahiminejad · Owner · 480-926-7800
- Enumeration Date
- January 10, 2019
- Last Update Date
- January 5, 2023
- Certification Date
- January 5, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2836 E Indian School RD Ste A8
Phoenix, AZ 85016-6864 - City
- Phoenix
- State
- Arizona
- ZIP
- 85016-6864
- Country
- US
- Phone Number
- 602-840-0056
- Fax Number
- 480-926-2260
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Chiropractor 193200000X - Multi-Specialty Group | 111N00000X | No | — | — |
| Physical Medicine & Rehabilitation 193200000X - Multi-Specialty Group | 208100000X | No | — | — |
| Physical Therapist 193200000X - Multi-Specialty Group | 225100000X | No | — | — |
| Physician Assistant 193200000X - Multi-Specialty Group | 363A00000X | No | — | — |
| General Practice 193200000X - Multi-Specialty Group | 208D00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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 at npiregistry.cms.hhs.gov.