PHYSICIAN PAY GROUP LLC
NPI 1194609420
Clinic/Center in Phoenix, AZ

NPI Status: Active since July 31, 2025

Contact Information

9002 N CENTRAL AVE
PHOENIX, AZ
ZIP 85020
Phone: (480) 321-6627

Get Directions Write a Review

  • Organization
  • Clinic/Center

About PHYSICIAN PAY GROUP LLC

This page provides the complete NPI Profile along with additional information for Physician Pay Group Llc, a provider established in Phoenix, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1194609420 assigned on July 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Physician Pay Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Ali-andra Ottun (Ceo)

NPI
1194609420
Provider Legal Name
PHYSICIAN PAY GROUP LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
9002 N CENTRAL AVE PHOENIX, AZ 85020
Location Phone
(480) 321-6627
Mailing Address
4241 N 23RD AVE APT 3 PHOENIX, AZ 85015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2025
Last Update Date
08-01-2025
Code Navigator

Location Map

Secondary Locations

  • 4241 N 23rd Ave Apt 3
    Phoenix, AZ 85015
    (480) 321-6627
  • 7501 N 35th Ave
    Phoenix, AZ 85051
    (480) 321-6627

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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
5163WA0400XNursing Service Providers

Registered Nurse
Addiction (Substance Use Disorder)

 
6163WC0400XNursing Service Providers

Registered Nurse
Case Management

 
7163WP0807XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Child & Adolescent

 
8163WP0809XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Adult

 
9207PE0004XAllopathic & Osteopathic Physicians

Emergency Medicine
Emergency Medical Services

 
10343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
11364SP0810XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist
Psychiatric/Mental Health, Child & Family

 
12405300000XOther Service Providers

Prevention Professional

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

ALI-ANDRA OTTUN

Authorized Official Title
CEO
Authorized Official Phone
(480) 321-6627

Reviews for PHYSICIAN PAY GROUP LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1194609420, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 6 → 12 → 3 9 → 18 → 9 2 → 4

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 + 1 + 2 + 0 + 1 + 8 + 4 + 4 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1194609420.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
9002 N CENTRAL AVE
PHOENIX, AZ 85020
Clinic/Center (Mental Health (Including Community Mental Health Center))
9002 N CENTRAL AVE
PHOENIX, AZ 85020
Community/Behavioral Health
9002 N CENTRAL AVE
PHOENIX, AZ 85020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194609420, enumerated as an "organization" on July 31, 2025.

The provider is located at 9002 N CENTRAL AVE PHOENIX, AZ 85020 and the phone number is (480) 321-6627.

Clinic/Center with taxonomy code 261Q00000X.