SJ MEDICAL GROUP
NPI 1669865408
Nurse Practitioner - Primary Care in Phoenix, AZ

Q: What is Sj Medical Group's NPI number?

The NPI number for Sj Medical Group is 1669865408. It was assigned to this organization in the NPPES registry on March 17, 2015.

Q: What is Sj Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Sj Medical Group was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 17, 2015

4622 N 35TH AVE, PHOENIX, AZ 85017(602) 753-0667(602) 441-2202 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Sj Medical Group NPPES

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

SJ MEDICAL GROUP (NPI 1669865408) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since March 2015. The organization lists Immaculata Inyang, Provider, as its authorized official.

NPPES Registry Identity

NPI1669865408

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameSJ MEDICAL GROUP

Location Address4622 N 35TH AVEPhoenix, AZ 85017-3403

Mailing Address4622 N 35th AvePhoenix, AZ 85017-3403 · (602) 753-0667 · Fax (602) 441-2202

Phone(602) 753-0667

Fax(602) 441-2202

Organization SubpartNo

Authorized OfficialImmaculata InyangProvider · (602) 753-0667

Enumeration DateMarch 17, 2015

✔ NPI 1669865408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AZ · AP7650

4622 N 35TH AVE, Phoenix, AZ 85017

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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

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 Sj Medical Group's NPI number?

The NPI number for Sj Medical Group is 1669865408. It was assigned to this organization in the NPPES registry on March 17, 2015.

Where is Sj Medical Group located?

Sj Medical Group is located at 4622 N 35th Ave, Phoenix, AZ 85017. The listed phone number is (602) 753-0667.

What is Sj Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Sj Medical Group was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.