DESERT RIDGE MEDICAL GROUP
NPI 1386133080
General Practice in Phoenix, AZ

NPI Status: Active since May 08, 2018

Contact Information

21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ
ZIP 85050
Phone: (480) 926-7800
Fax: (480) 926-2260

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
General Practice

About DESERT RIDGE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Desert Ridge Medical Group, a primary care provider established in Phoenix, Arizona operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1386133080 assigned on May 2018. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Desert Ridge Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ellie Descalzo (Credentialing Officer)

NPI: 1386133080
Provider Name: DESERT RIDGE MEDICAL GROUP
Entity Type: Organization
Location Address: 21001 N TATUM BLVD STE 78-1640 PHOENIX, AZ 85050
Location Phone: (480) 926-7800
Location Fax: (480) 926-2260
Mailing Address: PO BOX 6610 CHANDLER, AZ 85246
Mailing Phone: (480) 926-7800
Mailing Fax: (480) 926-2260
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-08-2018
Last Update Date: 10-13-2023
Code Navigator

A primary care provider (PCP) like Desert Ridge Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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: General Practice
Taxonomy Code: 208D00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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

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
1	111N00000X	Chiropractic Providers	Chiropractor
2	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation
3	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist
4	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant

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: ELLIE DESCALZO
Authorized Official Title: CREDENTIALING OFFICER
Authorized Official Phone: (480) 926-7800

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	8	6	1	3	3	0	8	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	16	6	2	3	6	0	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 2 + 3 + 6 + 0 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1386133080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

TATUM PROFESSIONAL GROUP LLC

Pain Medicine

(Interventional Pain Medicine)

21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ
ZIP 85050

About DESERT RIDGE MEDICAL GROUP

Location Map

Specialty - Primary Taxonomy

General Practice

Secondary Taxonomies

Chiropractor

Physical Medicine & Rehabilitation

Physical Therapist

Physician Assistant

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

Authorized Official

ELLIE DESCALZO

Reviews for DESERT RIDGE MEDICAL GROUP

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is DESERT RIDGE MEDICAL GROUP's NPI number?

Where is the provider located?

What is the provider's specialty?