MOUNTAINSIDE MEDICAL CLINIC
NPI 1346800646
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Mountainside Medical Clinic's NPI number?

The NPI number for Mountainside Medical Clinic is 1346800646. It was assigned to this organization in the NPPES registry on June 18, 2019.

Q: What is Mountainside Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 18, 2019

4139 W BELL RD STE 8&9, PHOENIX, AZ 85053(507) 319-7780 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 7, 2020, Jun 18, 2019 (2 updates tracked since 2019).

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About Mountainside Medical Clinic NPPES

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

MOUNTAINSIDE MEDICAL CLINIC (NPI 1346800646) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since June 2019. The organization lists Liban Osman, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1346800646

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMOUNTAINSIDE MEDICAL CLINIC

Location Address4139 W BELL RD STE 8&9Phoenix, AZ 85053-2753

Mailing AddressPo Box 9365Surprise, AZ 85374-0139 · (480) 687-7190 · Fax (480) 687-7292

Phone(507) 319-7780

Organization SubpartNo

Authorized OfficialLiban OsmanFamily Nurse Practitioner · (480) 687-7190

Enumeration DateJune 18, 2019

Last NPPES UpdateMay 7, 20202 updates tracked since enumeration

NPPES CertifiedMay 7, 2020

✔ NPI 1346800646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

4139 W BELL RD STE 8&9, Phoenix, AZ 85053

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mountainside Medical Clinic's NPI number?

The NPI number for Mountainside Medical Clinic is 1346800646. It was assigned to this organization in the NPPES registry on June 18, 2019.

Where is Mountainside Medical Clinic located?

Mountainside Medical Clinic is located at 4139 W Bell Rd Ste 8&9, Phoenix, AZ 85053. The listed phone number is (507) 319-7780.

What is Mountainside Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mountainside Medical Clinic was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.