OCOTILLO MEDICAL GROUP LLC – NPI #1538692470
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

OCOTILLO MEDICAL GROUP LLC is a provider located in CHANDLER, AZ. NPPES has assigned the NPI number 1538692470 to OCOTILLO MEDICAL GROUP LLC on April 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Oct 11, 2023. 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 OCOTILLO MEDICAL GROUP LLC below.

NPI Profile for
OCOTILLO MEDICAL GROUP LLC

NPI Number
1538692470
Enumeration Date

(more than 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
OCOTILLO MEDICAL GROUP LLC
Primary location
2815 E. OCOTILLO RD
#4
CHANDLER, AZ 85233
Phone: (480) 926-7800 Fax: (480) 926-2260
Mailing address
PO BOX 6610
CHANDLER, AZ 85246-6610
Phone: (480) 926-7800 Fax: (480) 926-2260
Organization Subpart
No
Authorized Official
RADMAN RAHIMINEJAD
OWNER
Phone: (480) 926-7800
Updated
Certification Date
Oct 11, 2023

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.

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.