SPECTRUM PROVIDERS , LLC – NPI #1174453740
Clinic/Center

SPECTRUM PROVIDERS , LLC is an AHC clinic located in PHOENIX, AZ. NPPES recently assigned the NPI number 1174453740 to SPECTRUM PROVIDERS , LLC on May 22, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

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 SPECTRUM PROVIDERS , LLC below.

NPI Profile for
SPECTRUM PROVIDERS , LLC

NPI Number
1174453740
Enumeration Date

(about 2 weeks 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
SPECTRUM PROVIDERS , LLC
Primary location
2828 N CENTRAL AVE STE 814
PHOENIX, AZ 85004-1021
Phone: (818) 723-7338 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANN JAGENDA
MEMBER
Phone: (818) 723-7338
Updated
Certification Date
May 22, 2026

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
261QM1300X
- Clinic/Center / Multi-Specialty (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.