TRUSTED CARE EAST VALLEY AZ, LLC – NPI #1972024917
Clinic/Center

TRUSTED CARE EAST VALLEY AZ, LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1972024917 to TRUSTED CARE EAST VALLEY AZ, LLC on June 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRUSTED CARE EAST VALLEY AZ, LLC below.

NPI Profile for
TRUSTED CARE EAST VALLEY AZ, LLC

NPI Number
1972024917
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRUSTED CARE EAST VALLEY AZ, LLC
Primary location
1114 S HIGLEY ROAD STE 101
MESA, AZ 85206
Phone: (602) 715-1654 Fax:
Mailing address
20950 N TATUM BLVD STE 170
PHOENIX, AZ 85050-4272
Phone: Fax: (480) 499-5878
Organization Subpart
No
Authorized Official
WAYNE DESTEFANO
MANAGER
Phone: (602) 715-1654
Updated
Certification Date
Apr 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.