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ARIZONA MEDICAL CLINIC
NPI 1780819748
Family Medicine in Phoenix, AZ

Active since May 20, 2009CLIA 03D2163256 · Waiver
1847 W. HEATHERBRAE DRIVE, PHOENIX, AZ 85015(602) 274-2100 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arizona Medical Clinic NPPES

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

ARIZONA MEDICAL CLINIC (NPI 1780819748) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Linda S Som, Member, as its authorized official.

NPPES Registry Identity

NPI1780819748
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEPANGELIA PROPERTIES, LLC
Location Address1847 W. HEATHERBRAE DRIVEPhoenix, AZ 85015-4764
Mailing Address1847 W Heatherbrae DrPhoenix, AZ 85015-4764 · (602) 274-2100
Phone(602) 274-2100
Organization SubpartNo
Authorized OfficialLinda S SomMember · (602) 274-2100
Enumeration DateMay 20, 2009
Last NPPES UpdateApril 21, 2011
✔ NPI 1780819748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1847 W. HEATHERBRAE DRIVE, Phoenix, AZ 85015
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Other Names 1

Doing Business AsArizona Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2163256

Epangelia Properties, LLC · Phoenix, AZ
Active · expires Mar 10, 2027
CLIA Number03D2163256
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorBaoan Andy G. Le
Laboratory Phone(602) 274-2100
Laboratory LocationEpangelia Properties, LLC5140 E Thomas Rd, Phoenix, AZ 85018
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Epangelia Properties, LLC's NPI number?

The NPI number for Epangelia Properties, LLC is 1780819748. It was assigned to this organization in the NPPES registry on May 20, 2009. The provider is doing business as Arizona Medical Clinic.

Where is Epangelia Properties, LLC located?

Epangelia Properties, LLC is located at 1847 W. Heatherbrae Drive, Phoenix, AZ 85015. The listed phone number is (602) 274-2100.

What is Epangelia Properties, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Epangelia Properties, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2163256) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Epangelia Properties, LLC was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.