ARIZONA ESSENTIAL HOLISTIC CARE - NPI 1497246482 - Family Medicine in Glendale, AZ

Q: What is Arizona Essential Holistic Care's NPI number?

The NPI number for Arizona Essential Holistic Care is 1497246482. It was assigned to this organization in the NPPES registry on May 24, 2018. The provider was formerly known as Arizona Essential Holistic Care, LLC.

Q: What is Arizona Essential Holistic Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

On this page

About Arizona Essential Holistic Care NPPES

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

ARIZONA ESSENTIAL HOLISTIC CARE (NPI 1497246482) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through July 31, 2027, maintains a secondary practice location in Glendale, and lists Alodia Banuelos Domingo, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1497246482

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameARIZONA ESSENTIAL HOLISTIC CARE

Location Address5700 W OLIVE AVE STE 102Glendale, AZ 85302

Mailing Address5700 W Olive Ave Ste 102Glendale, AZ 85302-3147 · (602) 738-6062 · Fax (602) 354-9462

Phone(623) 738-6062

Fax(602) 354-9462

Organization SubpartNo

Authorized OfficialAlodia Banuelos DomingoProvider/owner · (623) 738-6062

Enumeration DateMay 24, 2018

Last NPPES UpdateNovember 25, 20193 updates tracked since enumeration

✔ NPI 1497246482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · AP5625

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5700 W OLIVE AVE STE 102, Glendale, AZ 85302

Open in Google Maps ↗

Other Names 2

Doing Business AsArizona Essential Holistic Care

Former Legal Business NameArizona Essential Holistic Care, Llc

Secondary Practice Location 1

Location 17200 W Bell Rd Bldg BGlendale, AZ 85308-8529 · Phone (602) 738-6062

Other Identifiers 1

Other811065660AZ · United Health Care

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

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 03D2170075

Arizona Essential Holistic Care, LLC · Glendale, AZ

Active · expires Jul 31, 2027

CLIA Number03D2170075

Laboratory TypePhysician Office

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorAlodia Domingo

Laboratory Phone(623) 738-6062

Laboratory LocationArizona Essential Holistic Care, LLC5700 W Olive Ave Ste 102, Glendale, AZ 85302

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALODIA BANUELOS DOMINGO NP

Nurse Practitioner (Family)