CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
NPI 1245865096
Clinic/Center - Multi-Specialty in Phoenix, AZ
NPI Status: Active since March 11, 2020
Contact Information
8410 W THOMAS RD STE 124
PHOENIX, AZ
ZIP 85037
Phone: (480) 417-5289
Fax: (833) 279-7074
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
About CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
This page provides the complete NPI Profile along with additional information for Cleanslate Medical Group Of Arizona Pllc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1245865096 assigned on March 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated May 2025. Cleanslate Medical Group Of Arizona Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1245865096
- Provider Legal Name
- CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 8410 W THOMAS RD STE 124 PHOENIX, AZ 85037
- Location Phone
- (480) 417-5289
- Location Fax
- (833) 279-7074
- Mailing Address
- 8 CADILLAC DR STE 180 BRENTWOOD, TN 37027
- Mailing Phone
- (615) 425-0220
- Mailing Fax
- (833) 279-7074
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-11-2020
- Last Update Date
- 05-08-2025
- Code Navigator
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
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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. | |||||||||
| 1 | 2 | 4 | 5 | 8 | 6 | 5 | 0 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 16 | 6 | 10 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 6 + 6 + 1 + 0 + 0 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1245865096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801558267 | MARINA ELENA CHAVEZ Individual | Physician Assistant | 8410 W THOMAS RD STE 124 PHOENIX, AZ 85037 (480) 417-5289 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245865096, enumerated in the NPI registry as an "organization" on March 11, 2020
The provider is located at 8410 W Thomas Rd Ste 124 Phoenix, Az 85037 and the phone number is (480) 417-5289
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 11, 2020. 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.