PREMIER INTEGRATED HEALTHCARE PLLC
NPI 1508445941
Nurse Practitioner - Psychiatric/Mental Health in San Tan Valley, AZ

NPI Status: Active since April 05, 2021

Contact Information

85 W COMBS RD STE 101-269
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 231-4113

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • CLIA Number: 03D2226692
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 06-01-2027

About PREMIER INTEGRATED HEALTHCARE PLLC

This page provides the complete NPI Profile along with additional information for Premier Integrated Healthcare Pllc, a provider established in San Tan Valley, Arizona operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1508445941 assigned on April 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Premier Integrated Healthcare Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Sozo Medical Group. The authorized official of this NPI record is Mr. Chidozie C Eze Fnp-c (Director)

NPI
1508445941
Provider Legal Name
PREMIER INTEGRATED HEALTHCARE PLLC
Other Organization Name
SOZO MEDICAL GROUP
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
85 W COMBS RD STE 101-269 SAN TAN VALLEY, AZ 85140
Location Phone
(480) 231-4113
Mailing Address
85 W COMBS RD STE 101-269 SAN TAN VALLEY, AZ 85140
Mailing Phone
(480) 231-4113
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2021
Last Update Date
02-17-2022
Code Navigator

A nurse practitioner (NP) like Premier Integrated Healthcare Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

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. CHIDOZIE C EZE FNP-C

Authorized Official Title
DIRECTOR
Authorized Official Phone
(480) 231-4113

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
03D2226692
Facility Type
Independent
Certificate Effective Date
June 02, 2025
Certificate Expiration Date
June 01, 2027
Laboratory Director
CHIDOZIE EZE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premier Integrated Healthcare Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1508445941, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
1
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 0 → 0 4 → 8 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 8 + 4 + 1 + 0 + 9 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1508445941.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508445941, enumerated as an "organization" on April 05, 2021.

The provider is located at 85 W COMBS RD STE 101-269 SAN TAN VALLEY, AZ 85140 and the phone number is (480) 231-4113.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.