PEORIA
NPI 1194138545
Non-Pharmacy Dispensing Site in Peoria, AZ

NPI Status: Active since June 03, 2014

Contact Information

9401 W THUNDERBIRD RD
SUITE 180
PEORIA, AZ
ZIP 85381
Phone: (623) 516-8252
Fax: (623) 516-8253

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 03D2313013
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-22-2026

About PEORIA

This page provides the complete NPI Profile along with additional information for Peoria, a provider established in Peoria, Arizona operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1194138545 assigned on June 2014. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Peoria. The authorized official of this NPI record is Claudia Grijalva (Credentialing)

NPI
1194138545
Provider Legal Name
THE PAIN CENTER OF ARIZONA, PC
Other Organization Name
PEORIA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
9401 W THUNDERBIRD RD SUITE 180 PEORIA, AZ 85381
Location Phone
(623) 516-8252
Location Fax
(623) 516-8253
Mailing Address
5281 N 99TH AVE SUITE 100 GLENDALE, AZ 85305
Mailing Phone
(623) 516-8252
Mailing Fax
(623) 516-8253
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-03-2014
Last Update Date
06-03-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License State
AZ
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAUDIA GRIJALVA

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(623) 241-6152

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z71338MEDICARE PIN (08)AZ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2313013
Facility Type
Physician Office
Certificate Effective Date
October 23, 2024
Certificate Expiration Date
October 22, 2026
Laboratory Director
SHAILI GAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peoria to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PEORIA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194138545, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 2 + 3 + 1 + 6 + 5 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1194138545.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Counselor (Mental Health)
9401 W THUNDERBIRD RD, SUITE #183 AND SUITE #186
PEORIA, AZ 85381
Counselor (Mental Health)
9401 W THUNDERBIRD RD, SUITE 183 & SUITE 186
PEORIA, AZ 85381
Internal Medicine
9401 W THUNDERBIRD RD, #155
PEORIA, AZ 85381
Physical Therapist
9401 W THUNDERBIRD RD, SUITE 190
PEORIA, AZ 85381
Durable Medical Equipment & Medical Supplies
9401 W THUNDERBIRD RD, SUITE 180
PEORIA, AZ 85381
Durable Medical Equipment & Medical Supplies
9401 W THUNDERBIRD RD, SUITE 180
PEORIA, AZ 85381
Family Medicine
9401 W THUNDERBIRD RD, STE 155
PEORIA, AZ 85381
Physical Therapist
9401 W THUNDERBIRD RD
PEORIA, AZ 85381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194138545, enumerated as an "organization" on June 03, 2014.

The provider is located at 9401 W THUNDERBIRD RD SUITE 180 PEORIA, AZ 85381 and the phone number is (623) 516-8252.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.