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DESERT RIDGE FACILITY LLC
NPI 1194214809
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Active since May 08, 2018
21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050(480) 926-7800(480) 926-2260 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2021, Feb 11, 2020, Dec 26, 2019 and 2 more (5 updates tracked since 2018).

About Desert Ridge Facility Llc NPPES

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

DESERT RIDGE FACILITY LLC (NPI 1194214809) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since May 2018. The organization lists Radman Rahiminejad, Owner, as its authorized official.

NPPES Registry Identity

NPI1194214809
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDESERT RIDGE FACILITY LLC
Location Address21001 N TATUM BLVD STE 78-1640Phoenix, AZ 85050-5244
Mailing Address2250 E Germann Rd Ste 8Chandler, AZ 85286-1575 · (480) 926-7800 · Fax (480) 926-2260
Phone(480) 926-7800
Fax(480) 926-2260
Organization SubpartNo
Authorized OfficialRadman RahiminejadOwner · (480) 926-7800
Enumeration DateMay 8, 2018
Last NPPES UpdateAugust 19, 20215 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1194214809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
21001 N TATUM BLVD STE 78-1640, Phoenix, AZ 85050
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Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Desert Ridge Medical Group, LLC carries, from the Medicare DMEPOS supplier directory.

Desert Ridge Medical Group, LLC

DMEPOS supplier · Phoenix, AZOperated by Desert Ridge Medical Group
✔

Accepts Medicare assignment

Desert Ridge Medical Group, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20453603
Medicare Participant SinceSeptember 1, 2018
Supplier Location21001 N Tatum Blvd Ste 78-1640Phoenix, AZ 85050
Phone(480) 306-7832
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

BFDRMP MEDICAL GROUP LLC
General Practice
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 306-7832
TATUM PROFESSIONAL GROUP LLC
Pain Medicine (Interventional Pain Medicine)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DV ANESTHESIA GROUP LLC
Anesthesiology
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DV PROFESSIONAL GROUP LLC
Pain Medicine (Interventional Pain Medicine)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DRPS IOM PROFESSIONAL LLC
Psychiatry & Neurology (Neurology)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
ARIZONA VASCULAR PROFESSIONALS, LLC
Clinic/Center (Multi-Specialty)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (440) 655-9114
DEER VALLEY MEDICAL GROUP. LLC
General Practice
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 306-7832
DESERT RIDGE MEDICAL GROUP ANESTHESIA LLC
Anesthesiology
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (602) 930-7800

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 Desert Ridge Facility LLC's NPI number?

The NPI number for Desert Ridge Facility LLC is 1194214809. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Desert Ridge Facility LLC located?

Desert Ridge Facility LLC is located at 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050. The listed phone number is (480) 926-7800.

What is Desert Ridge Facility LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Desert Ridge Facility LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Desert Ridge Medical Group, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Desert Ridge Facility LLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.