CEB CAPITAL LLC
NPI 1073986212
Family Medicine in Phoenix, AZ

Active since November 10, 2015CLIA 03D0992678 · Waiver
4502 W INDIAN SCHOOL RD, SUITE A-3, PHOENIX, AZ 85031(623) 247-0414(623) 247-0424 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2016, Nov 10, 2015 (2 updates tracked since 2015).

About Ceb Capital Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEB CAPITAL LLC (NPI 1073986212) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Ivy Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073986212
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCEB CAPITAL LLC
Location Address4502 W INDIAN SCHOOL RD, SUITE A-3Phoenix, AZ 85031-2800
Mailing Address9150 W Indian School Rd, Suite 111bPhoenix, AZ 85037-2384 · (623) 247-2300 · Fax (623) 247-1939
Fax(623) 247-0424
Organization SubpartNo
Authorized OfficialIvy JonesOffice Manager · (623) 247-2300
Enumeration DateNovember 10, 2015
Last NPPES UpdateMarch 23, 20162 updates tracked since enumeration
NPI 1073986212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4502 W INDIAN SCHOOL RD, Phoenix, AZ 85031

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0992678

Ceb Capital LLC, Dba B-Healthy Clinic · Phoenix, AZ
Active · expires Oct 22, 2027
CLIA Number03D0992678
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorEthan Kennedy
Laboratory Phone(623) 247-2300
Laboratory LocationCeb Capital LLC, Dba B-Healthy Clinic4502 W Indian School Ste A-3, Phoenix, AZ 85031
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0949681

Ceb Capital LLC Dba B-Healthy Clinic · Phoenix, AZ
Expired · Aug 6, 2026
CLIA Number03D0949681
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorEthan Kennedy
Laboratory Phone(623) 247-2300
Laboratory LocationCeb Capital LLC Dba B-Healthy Clinic9150 W Indian School Rd Ste 111B, Phoenix, AZ 85037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4502 W INDIAN SCHOOL RD, SUITE A2
PHOENIX, AZ 85031
Dentist (General Practice)
4502 W INDIAN SCHOOL RD
PHOENIX, AZ 85031
Dentist
4502 W INDIAN SCHOOL RD, STE A2
PHOENIX, AZ 85031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ceb Capital LLC's NPI number?

The NPI number for Ceb Capital LLC is 1073986212. It was assigned to this organization in the NPPES registry on November 10, 2015.

Where is Ceb Capital LLC located?

Ceb Capital LLC is located at 4502 W Indian School Rd Suite A-3, Phoenix, AZ 85031. The listed phone number is (623) 247-0414.

What is Ceb Capital LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ceb Capital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0992678) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ceb Capital LLC was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.