DESERT RIDGE MEDICAL LLC
NPI 1265930614
Physical Medicine & Rehabilitation in Phoenix, AZ
About Desert Ridge Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESERT RIDGE MEDICAL LLC (NPI 1265930614) is a healthcare organization registered as a physical medicine & rehabilitation in Phoenix, Arizona and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Challen Waychoff, Coo/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2153676
Desert Ridge Medical Group LLC · Phoenix, AZOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85050
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 Medical LLC's NPI number?
The NPI number for Desert Ridge Medical LLC is 1265930614. It was assigned to this organization in the NPPES registry on January 30, 2018.
Where is Desert Ridge Medical LLC located?
Desert Ridge Medical LLC is located at 26224 N Tatum Blvd Ste 11, Phoenix, AZ 85050. The listed phone number is (480) 634-6400.
What is Desert Ridge Medical LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Does Desert Ridge Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2153676) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Desert Ridge Medical LLC was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.