PHOENIX INDIAN MEDICAL CENTER
NPI 1427101377
Registered Nurse - Community Health in Phoenix, AZ

NPI Status: Active since January 22, 2007

Contact Information

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 248-4194
Fax: (602) 200-5381

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  • Organization
  • Registered Nurse
  • Community Health
  • CLIA Number: 03D0664433
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About PHOENIX INDIAN MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Phoenix Indian Medical Center, a provider established in Phoenix, Arizona operating as a Registered Nurse, focusing in community health . The healthcare provider is registered in the NPI registry with number 1427101377 assigned on January 2007. The practitioner's primary taxonomy code is 163WC1500X with license number RN051810 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. Phoenix Indian Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Juan J. Lopez Registered Nurse (Public Health Nurse)

NPI
1427101377
Provider Name
PHOENIX INDIAN MEDICAL CENTER
Entity Type
Organization
Location Address
4212 N 16TH ST PHOENIX, AZ 85016
Location Phone
(602) 248-4194
Location Fax
(602) 200-5381
Mailing Address
1244 E BETHANY HOME RD 36-A PHOENIX, AZ 85014
Mailing Phone
(602) 266-2281
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2007
Last Update Date
08-22-2020
Code Navigator

A registered nurse (RN) like Phoenix Indian Medical Center coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

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

Registered Nurse Community Health

Taxonomy Code
163WC1500X
Type
Nursing Service Providers
License No.
RN051810
License State
AZ

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

MR. JUAN J. LOPEZ REGISTERED NURSE

Authorized Official Title
PUBLIC HEALTH NURSE
Authorized Official Phone
(602) 248-4194

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D0664433
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. CARL M. MINAMI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Phoenix Indian Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1427101377, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 2 → 4 1 → 2 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 2 + 0 + 2 + 3 + 1 + 4 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1427101377.

Other Providers at the Same Location


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

Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Obstetrics & Gynecology)
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST, PHARMACY
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Physician Assistant (Medical)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Dentist (General Practice)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Optometrist
4212 N 16TH ST
PHOENIX, AZ 85016
Optometrist
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Emergency Medicine
4212 N 16TH ST, EMERGENCY DEPARTMENT
PHOENIX, AZ 85016
Otolaryngology
4212 N 16TH ST
PHOENIX, AZ 85016
Otolaryngology
4212 N 16TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Obstetrics & Gynecology)
4212 N 16TH ST
PHOENIX, AZ 85016
Audiologist
4212 N 16TH ST
PHOENIX, AZ 85016
Anesthesiology
4212 N 16TH ST
PHOENIX, AZ 85016
Internal Medicine (Rheumatology)
4212 N 16TH ST
PHOENIX, AZ 85016
Advanced Practice Midwife
4212 N 16TH ST, OB/GYN DEPARTMENT
PHOENIX, AZ 85016
Dentist (Dental Public Health)
4212 N 16TH ST, DENTAL
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427101377, enumerated as an "organization" on January 22, 2007.

The provider is located at 4212 N 16TH ST PHOENIX, AZ 85016 and the phone number is (602) 248-4194.

Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.