FOUR PEAKS PAIN CENTER
NPI 1760960405
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since August 03, 2018
3850 E BASELINE RD STE 117, MESA, AZ 85206(480) 712-6663 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2018, Aug 3, 2018 (2 updates tracked since 2018).

About Four Peaks Pain Center NPPES

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

FOUR PEAKS PAIN CENTER (NPI 1760960405) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since August 2018. The organization lists Corinne Kovac, Manager, as its authorized official.

NPPES Registry Identity

NPI1760960405
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBERTHA, LLC
Location Address3850 E BASELINE RD STE 117Mesa, AZ 85206-4404
Mailing Address3850 E Baseline Rd Ste 117Mesa, AZ 85206-4404 · (480) 712-6663
Organization SubpartNo
Authorized OfficialCorinne KovacManager · (480) 712-6663
Enumeration DateAugust 3, 2018
Last NPPES UpdateOctober 23, 20182 updates tracked since enumeration
NPI 1760960405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3850 E BASELINE RD STE 117, Mesa, AZ 85206

Other Names 1

Doing Business AsFour Peaks Pain Center

Other Providers at the Same Location NPPES 6

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

Pain Medicine (Interventional Pain Medicine)
3850 E BASELINE RD STE 117
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
3850 E BASELINE RD STE 117
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
3850 E BASELINE RD STE 117
MESA, AZ 85206
Anesthesiology
3850 E BASELINE RD STE 117
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
3850 E BASELINE RD STE 117
MESA, AZ 85206
Physical Medicine & Rehabilitation
3850 E BASELINE RD STE 117
MESA, AZ 85206

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 Bertha, LLC's NPI number?

The NPI number for Bertha, LLC is 1760960405. It was assigned to this organization in the NPPES registry on August 3, 2018. The provider is doing business as Four Peaks Pain Center.

Where is Bertha, LLC located?

Bertha, LLC is located at 3850 E Baseline Rd Ste 117, Mesa, AZ 85206. The listed phone number is (480) 712-6663.

What is Bertha, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Bertha, LLC was last updated on October 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.