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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PRIVATE HEALTH MANAGEMENT MEDICAL GROUP, PLLC
NPI 1164339065
General Practice in Phoenix, AZ

Active since August 26, 2026
3800 N CENTRAL AVE STE 460, PHOENIX, AZ 85012(213) 275-0942 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Private Health Management Medical Group, Pllc NPPES

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

PRIVATE HEALTH MANAGEMENT MEDICAL GROUP, PLLC (NPI 1164339065) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since August 2026. The organization lists Joaquin Fong, Controller, as its authorized official.

NPPES Registry Identity

NPI1164339065
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRIVATE HEALTH MANAGEMENT MEDICAL GROUP, PLLC
Location Address3800 N CENTRAL AVE STE 460Phoenix, AZ 85012-1995
Mailing Address345 Heritage Ave # 1395Portsmouth, NH 03801-5899
Phone(213) 275-0942
Organization SubpartNo
Authorized OfficialJoaquin FongController · (213) 275-0942
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1164339065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
3800 N CENTRAL AVE STE 460, Phoenix, AZ 85012
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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

Other Providers at the Same Location NPPES 9

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

LIFEMD, INC.
Clinic/Center
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (800) 852-1575
STEPS BEHAVIORAL HEALTH AZ, LLC
Behavior Analyst
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (443) 353-9547
GETLABS INC
Clinical Medical Laboratory
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (480) 690-7880
TLN PROFESSIONAL SERVICES PLLC
Lactation Consultant, Non-RN
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (888) 510-0059
NEXUS WOUND CONSULTANTS LLC
Family Medicine
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (830) 285-8882
ACHIEVING STARS AZ LLC
Community/Behavioral Health
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (833) 666-3115
ALYSE JENNA MOSES-LEBRON PA-C
Physician Assistant
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (310) 248-4050
ERIKA LYNN SHARPE FNP-BC
Nurse Practitioner (Family)
3800 N CENTRAL AVE STE 460
PHOENIX, AZ 85012
Maricopa County (424) 332-2406

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 Private Health Management Medical Group, PLLC's NPI number?

The NPI number for Private Health Management Medical Group, PLLC is 1164339065. It was assigned to this organization in the NPPES registry on August 26, 2026.

Where is Private Health Management Medical Group, PLLC located?

Private Health Management Medical Group, PLLC is located at 3800 N Central Ave Ste 460, Phoenix, AZ 85012. The listed phone number is (213) 275-0942.

What is Private Health Management Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Private Health Management Medical Group, PLLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.