CANYON MEDICAL IMAGING
NPI 1699091934
Clinic/Center - Radiology in Phoenix, AZ

NPI Status: Active since April 12, 2010

Contact Information

5501 N 19TH AVE
SUITE 111
PHOENIX, AZ
ZIP 85015
Phone: (602) 973-9800
Fax: (602) 973-9933

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  • Organization
  • Clinic/Center
  • Radiology

About CANYON MEDICAL IMAGING

This page provides the complete NPI Profile along with additional information for Canyon Medical Imaging, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1699091934 assigned on April 2010. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Canyon Medical Imaging. The authorized official of this NPI record is Mr. Daniel Alan Derhaag (Manager)

NPI
1699091934
Provider Legal Name
PUEBLO RADIOLOGY, LLC
Other Organization Name
CANYON MEDICAL IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5501 N 19TH AVE SUITE 111 PHOENIX, AZ 85015
Location Phone
(602) 973-9800
Location Fax
(602) 973-9933
Mailing Address
PO BOX 1810 SCOTTSDALE, AZ 85252
Mailing Phone
(602) 973-9800
Mailing Fax
(602) 973-9933
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-12-2010
Last Update Date
04-12-2010
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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

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. DANIEL ALAN DERHAAG

Authorized Official Title
MANAGER
Authorized Official Phone
(602) 973-9800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z79512MEDICARE UPIN (02)AZ 
863979MEDICAID (05)AZ 

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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 1699091934, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 9 → 18 → 9 0 → 0 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 0 + 9 + 2 + 9 + 6 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1699091934.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Dentist (General Practice)
5501 N 19TH AVE, SUITE 103
PHOENIX, AZ 85015
Orthopaedic Surgery (Sports Medicine)
5501 N 19TH AVE, 432
PHOENIX, AZ 85015
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Dentist (General Practice)
5501 N 19TH AVE, SUITE 103
PHOENIX, AZ 85015
Clinic/Center (Dental)
5501 N 19TH AVE, SUITE 103
PHOENIX, AZ 85015
Specialist
5501 N 19TH AVE, SUITE 310
PHOENIX, AZ 85015
Orthopaedic Surgery
5501 N 19TH AVE, SUITE 432
PHOENIX, AZ 85015
Anesthesiology (Pain Medicine)
5501 N 19TH AVE
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5501 N 19TH AVE
PHOENIX, AZ 85015
Family Medicine
5501 N 19TH AVE, 218
PHOENIX, AZ 85015
Orthopaedic Surgery (Hand Surgery)
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Dentist
5501 N 19TH AVE, SUIT 305
PHOENIX, AZ 85015
Psychiatry & Neurology (Psychiatry)
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Family Medicine
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Nurse Practitioner (Psychiatric/Mental Health)
5501 N 19TH AVE
PHOENIX, AZ 85015
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Registered Nurse (Home Health)
5501 N 19TH AVE
PHOENIX, AZ 85015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699091934, enumerated as an "organization" on April 12, 2010.

The provider is located at 5501 N 19TH AVE SUITE 111 PHOENIX, AZ 85015 and the phone number is (602) 973-9800.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.