CHOLLA MEDICAL GROUP, INC
NPI 1154443422
Family Medicine in Phoenix, AZ

NPI Status: Active since April 06, 2007

Contact Information

10631 S 51ST ST STE 8
PHOENIX, AZ
ZIP 85044
Phone: (480) 298-9951
Fax: (866) 246-5494

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  • Organization
  • Family Medicine
  • CLIA Number: 03D1067200
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-11-2025

About CHOLLA MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for Cholla Medical Group, Inc, a primary care provider established in Phoenix, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1154443422 assigned on April 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 19237 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ralph Flores (Ceo)

NPI
1154443422
Provider Name
CHOLLA MEDICAL GROUP, INC
Entity Type
Organization
Location Address
10631 S 51ST ST STE 8 PHOENIX, AZ 85044
Location Phone
(480) 298-9951
Location Fax
(866) 246-5494
Mailing Address
10631 S 51ST ST STE 8 PHOENIX, AZ 85044
Mailing Phone
(480) 298-9951
Mailing Fax
(866) 246-5494
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2007
Last Update Date
04-27-2023
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A primary care provider (PCP) like Cholla Medical Group, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
19237
License State
AZ
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RALPH FLORES

Authorized Official Title
CEO
Authorized Official Phone
(480) 298-9951

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1067200
Facility Type
Physician Office
Certificate Effective Date
April 12, 2023
Certificate Expiration Date
April 11, 2025
Laboratory Director
RALPH FLORES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cholla Medical Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CHOLLA MEDICAL GROUP, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154443422
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110484644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 4 + 6 + 4 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1154443422 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578856308 KIRSTEN STRONG OTR/L
Individual
Occupational Therapist10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1093121832 KELSEY LYNN FENN SLP
Individual
Speech-Language Pathologist10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1679980817 MELISSA ENGEL COTA/L
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1932589306 SARAH LAWTON
Individual
Occupational Therapist10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1619330131 NORA MCCAULEY COTA
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4281
1992245500 EMMA ORR COTA
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1356851729 ALLISON PATRICIA TEJADA
Individual
Specialist/Technologist (Speech-Language Assistant)10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(602) 616-1899
1689185514 ALEXANDRA LINCOLN
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1235668351 DIANA MONTIEL
Individual
Specialist/Technologist (Speech-Language Assistant)10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1912437229 ELIZABETH TORREZ OTD, OTR/L
Individual
Occupational Therapist10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1548763857 HANNAH THOMPSON
Individual
Specialist/Technologist (Speech-Language Assistant)10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1093292708 KATIE CAROL HAWK COTA
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1275018541 JUSTINE ALYSSA DONE COTA/L
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1497220115 CAITLIN ROSE SCARLETT COTA
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1518508548MRS. CHERI-LEE BASSETT OT ASSISTANT
Individual
Occupational Therapy Assistant10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1063033900 MACKENZIE ANNETTE MORROW FNP
Individual
Nurse Practitioner (Family)10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 298-9951
1306451125 RACHAEL REIBER
Individual
Speech-Language Pathologist10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1326648874 REBECCA HAMMES REILLY NP-C
Individual
Nurse Practitioner (Family)10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 418-7246
1326627654 RACHEL FISHER
Individual
Specialist/Technologist (Speech-Language Assistant)10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 398-4280
1275507378 MURALI TALLURI MD
Individual
Family Medicine10631 S 51ST ST STE 8
PHOENIX, AZ 85044
(480) 298-9951

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154443422, enumerated in the NPI registry as an "organization" on April 06, 2007

The provider is located at 10631 S 51st St Ste 8 Phoenix, Az 85044 and the phone number is (480) 298-9951

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 03D1067200 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.