CASPIAN GLEAM MEDICAL CENTER LLC
NPI 1174073837
Clinic/Center in Prescott, AZ

Q: What is Caspian Gleam Medical Center LLC's NPI number?

The NPI number for Caspian Gleam Medical Center LLC is 1174073837. It was assigned to this organization in the NPPES registry on October 6, 2016.

Q: What is Caspian Gleam Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 06, 2016

3130 STILLWATER DRIVE, SUITE B, PRESCOTT, AZ 86305(801) 884-9687 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Caspian Gleam Medical Center Llc NPPES

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

CASPIAN GLEAM MEDICAL CENTER LLC (NPI 1174073837) is a healthcare organization registered as a clinic/center in Prescott, Arizona and active in the NPI registry since October 2016. The organization lists Farbod Misaghian, Owner, as its authorized official.

NPPES Registry Identity

NPI1174073837

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCASPIAN GLEAM MEDICAL CENTER LLC

Location Address3130 STILLWATER DRIVE, SUITE BPrescott, AZ 86305

Mailing Address3270 Rose LnPrescott, AZ 86305-3744 · (801) 884-9687

Phone(801) 884-9687

Organization SubpartNo

Authorized OfficialFarbod MisaghianOwner · (801) 884-9687

Enumeration DateOctober 6, 2016

✔ NPI 1174073837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

3130 STILLWATER DRIVE, SUITE B, Prescott, AZ 86305

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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 Caspian Gleam Medical Center LLC's NPI number?

The NPI number for Caspian Gleam Medical Center LLC is 1174073837. It was assigned to this organization in the NPPES registry on October 6, 2016.

Where is Caspian Gleam Medical Center LLC located?

Caspian Gleam Medical Center LLC is located at 3130 Stillwater Drive, Suite B, Prescott, AZ 86305. The listed phone number is (801) 884-9687.

What is Caspian Gleam Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Caspian Gleam Medical Center LLC was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.