PEORIA
NPI 1194138545
Non-Pharmacy Dispensing Site in Peoria, AZ

NPI Status: Active since June 03, 2014

Contact Information

9401 W THUNDERBIRD RD
SUITE 180
PEORIA, AZ
ZIP 85381
Phone: (623) 516-8252
Fax: (623) 516-8253

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 03D2313013
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-22-2026

About PEORIA

This page provides the complete NPI Profile along with additional information for Peoria, a provider established in Peoria, Arizona operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1194138545 assigned on June 2014. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Peoria. The authorized official of this NPI record is Claudia Grijalva (Credentialing)

NPI
1194138545
Provider Legal Name
THE PAIN CENTER OF ARIZONA, PC
Other Organization Name
PEORIA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
9401 W THUNDERBIRD RD SUITE 180 PEORIA, AZ 85381
Location Phone
(623) 516-8252
Location Fax
(623) 516-8253
Mailing Address
5281 N 99TH AVE SUITE 100 GLENDALE, AZ 85305
Mailing Phone
(623) 516-8252
Mailing Fax
(623) 516-8253
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-03-2014
Last Update Date
06-03-2014
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License State
AZ
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

CLAUDIA GRIJALVA

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(623) 241-6152

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z71338MEDICARE PIN (08)AZ 

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
03D2313013
Facility Type
Physician Office
Certificate Effective Date
October 23, 2024
Certificate Expiration Date
October 22, 2026
Laboratory Director
SHAILI GAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peoria 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 PEORIA

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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.
1194138545
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184231658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 3 + 1 + 6 + 5 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1194138545 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023103488MRS. ELISABETH GAYLE DAVIES MC
Individual
Counselor (Mental Health)9401 W THUNDERBIRD RD SUITE #183 AND SUITE #186
PEORIA, AZ 85381
(623) 583-2893
1912176249BRIGHT ALTERNATIVES INC
Organization
Counselor (Mental Health)9401 W THUNDERBIRD RD SUITE 183 & SUITE 186
PEORIA, AZ 85381
(623) 583-2893
1881861953SURRAJ MEDICAL ASSOCIATES,PLLC
Organization
Internal Medicine9401 W THUNDERBIRD RD SUITE 155
PEORIA, AZ 85381
(623) 249-2100
1346272564DR. NAMITA S SACHDEVA MD
Individual
Internal Medicine9401 W THUNDERBIRD RD #155
PEORIA, AZ 85381
(623) 249-2100
1588001283 LISA OLSON PT, DPT
Individual
Physical Therapist9401 W THUNDERBIRD RD SUITE 190
PEORIA, AZ 85381
(623) 977-5451
1023049079DR. ASHISH SACHDEVA MD
Individual
Internal Medicine9401 W THUNDERBIRD RD SUITE 155
PEORIA, AZ 85381
(623) 249-2100
1710368410THE PAIN CENTER OF ARIZONA, PC
Organization
Durable Medical Equipment & Medical Supplies9401 W THUNDERBIRD RD SUITE 180
PEORIA, AZ 85381
(623) 516-8252
1720495146THE PAIN CENTER OF ARIZONA, PC
Organization
Durable Medical Equipment & Medical Supplies9401 W THUNDERBIRD RD SUITE 180
PEORIA, AZ 85381
(623) 516-8252
1033102835DR. ARLENE D CONTE M.D.
Individual
Family Medicine9401 W THUNDERBIRD RD STE 155
PEORIA, AZ 85381
(623) 249-2100
1447369947 PAMELA MORGAN
Individual
Physical Therapist9401 W THUNDERBIRD RD
PEORIA, AZ 85381
(623) 977-5451

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194138545, enumerated in the NPI registry as an "organization" on June 03, 2014

The provider is located at 9401 W Thunderbird Rd Suite 180 Peoria, Az 85381 and the phone number is (623) 516-8252

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D2313013 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 June 03, 2014. 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].
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