CACTUS MEDICAL CENTER LLC
NPI 1710487905
General Practice in Peoria, AZ

NPI Status: Active since February 14, 2018

Contact Information

20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ
ZIP 85382
Phone: (623) 376-8225

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  • Organization
  • General Practice

About CACTUS MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Cactus Medical Center Llc, a primary care provider established in Peoria, Arizona operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1710487905 assigned on February 2018. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Cactus Medical Center Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Brandon Kulp (Owner)

NPI
1710487905
Provider Name
CACTUS MEDICAL CENTER LLC
Entity Type
Organization
Location Address
20255 N LAKE PLEASANT RD STE 102 PEORIA, AZ 85382
Location Phone
(623) 376-8225
Mailing Address
20255 N LAKE PLEASANT RD STE 102 PEORIA, AZ 85382
Mailing Phone
(623) 376-8225
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2018
Last Update Date
02-14-2019
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A primary care provider (PCP) like Cactus Medical Center Llc 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 .

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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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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.

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

BRANDON KULP

Authorized Official Title
OWNER
Authorized Official Phone
(623) 376-8225

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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.
1710487905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720881490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 8 + 8 + 1 + 4 + 9 + 0 + 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 1710487905 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 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073801254 CASEY J KULP PT, DPT
Individual
Physical Therapist20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 376-8225
1477199701CACTUS PAIN SOLUTIONS, LLC
Organization
General Practice20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 376-8225
1366049025CACTUS PAIN RELIEF, LLC
Organization
Anesthesiology (Pain Medicine)20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 225-7154
1417549171UNION PAIN GROUP LLC
Organization
Pain Medicine (Interventional Pain Medicine)20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 376-8225
1497369847CROSSROADS TREATMENT CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 376-8225
1750962353WESTERN MED GROUP LLC
Organization
Pain Medicine (Interventional Pain Medicine)20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 412-2241
1831768654APR DME LLC
Organization
Durable Medical Equipment & Medical Supplies20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 376-8225
1992396535APR MED GROUP LLC
Organization
Pain Medicine (Interventional Pain Medicine)20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 376-8225
1376336545 RACHEL FLYNN FNP-C
Individual
Nurse Practitioner (Family)20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
(623) 376-8225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710487905, enumerated in the NPI registry as an "organization" on February 14, 2018

The provider is located at 20255 N Lake Pleasant Rd Ste 102 Peoria, Az 85382 and the phone number is (623) 376-8225

This medical organization specializes in General Practice with taxonomy code 208D00000X

This NPI record was last updated on February 14, 2018. 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.