CACTUS MEDICAL CENTER LLC
NPI 1710487905
General Practice in Peoria, AZ

Active since February 14, 2018
20255 N LAKE PLEASANT RD STE 102, PEORIA, AZ 85382(623) 376-8225 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2019, Aug 10, 2018, Feb 14, 2018 (3 updates tracked since 2018).

About Cactus Medical Center Llc NPPES

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

CACTUS MEDICAL CENTER LLC (NPI 1710487905) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since February 2018. The organization lists Brandon Kulp, Owner, as its authorized official.

NPPES Registry Identity

NPI1710487905
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCACTUS MEDICAL CENTER LLC
Location Address20255 N LAKE PLEASANT RD STE 102Peoria, AZ 85382-9747
Mailing Address20255 N Lake Pleasant Rd Ste 102Peoria, AZ 85382-9747 · (623) 376-8225
Organization SubpartNo
Authorized OfficialBrandon KulpOwner · (623) 376-8225
Enumeration DateFebruary 14, 2018
Last NPPES UpdateFebruary 14, 20193 updates tracked since enumeration
NPI 1710487905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
20255 N LAKE PLEASANT RD STE 102, Peoria, AZ 85382

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

Other Providers at the Same Location NPPES 9

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

Physical Therapist
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
Anesthesiology (Pain Medicine)
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
Nurse Practitioner (Family)
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
Pain Medicine (Interventional Pain Medicine)
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
General Practice
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
Clinic/Center (Ambulatory Surgical)
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
Pain Medicine (Interventional Pain Medicine)
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382
Durable Medical Equipment & Medical Supplies
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ 85382

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 Cactus Medical Center LLC's NPI number?

The NPI number for Cactus Medical Center LLC is 1710487905. It was assigned to this organization in the NPPES registry on February 14, 2018.

Where is Cactus Medical Center LLC located?

Cactus Medical Center LLC is located at 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382. The listed phone number is (623) 376-8225.

What is Cactus Medical Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Cactus Medical Center LLC was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.