1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. General Practice
  6. NPI Profile

DESERT RIDGE MEDICAL GROUP
NPI 1386133080
General Practice 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: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2023, Jan 5, 2023, Aug 19, 2021 and 4 more (7 updates tracked since 2018).

About Desert Ridge Medical Group NPPES

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

DESERT RIDGE MEDICAL GROUP (NPI 1386133080) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since May 2018. The organization lists Ellie Descalzo, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1386133080
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDESERT RIDGE MEDICAL GROUP
Location Address21001 N TATUM BLVD STE 78-1640Phoenix, AZ 85050-5244
Mailing AddressPo Box 6610Chandler, AZ 85246-6610 · (480) 926-7800 · Fax (480) 926-2260
Phone(480) 926-7800
Fax(480) 926-2260
Organization SubpartNo
Authorized OfficialEllie DescalzoCredentialing Officer · (480) 926-7800
Enumeration DateMay 8, 2018
Last NPPES UpdateOctober 13, 20237 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1386133080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysician AssistantTaxonomy 363A00000X
21001 N TATUM BLVD STE 78-1640, Phoenix, AZ 85050
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
DESERT RIDGE FACILITY LLC
Clinic/Center (Ambulatory Surgical)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 926-7800
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

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 Group's NPI number?

The NPI number for Desert Ridge Medical Group is 1386133080. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Desert Ridge Medical Group located?

Desert Ridge Medical Group 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 Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Desert Ridge Medical Group was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.