Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
NPI 1801421656
Clinic/Center - Multi-Specialty in Phoenix, AZ

Active since March 11, 2020
15255 N 40TH ST STE 135, PHOENIX, AZ 85032(480) 417-4215(833) 279-7074 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, Dec 1, 2025, May 8, 2025 and 5 more (8 updates tracked since 2020).

About Cleanslate Medical Group Of Arizona Pllc NPPES

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

CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC (NPI 1801421656), doing business as Cleanslate Centers- North 40th Phoenix, Az., is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since March 2020. The organization lists Paul Rogers Anderson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1801421656
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
Location Address15255 N 40TH ST STE 135Phoenix, AZ 85032-4682
Mailing Address155 Franklin Rd Ste 430Brentwood, TN 37027-1602 · (615) 425-0220 · Fax (833) 279-7074
Fax(833) 279-7074
Organization SubpartNo
Authorized OfficialPaul Rogers AndersonVice President · (615) 425-0220
Enumeration DateMarch 11, 2020
Last NPPES UpdateAugust 26, 20268 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
NPI 1801421656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
15255 N 40TH ST STE 135, Phoenix, AZ 85032

Other Names 1

Doing Business AsCleanslate Centers- North 40th Phoenix, Az.

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Family Medicine
15255 N 40TH ST STE 135
PHOENIX, AZ 85032
Nurse Practitioner (Family)
15255 N 40TH ST STE 135
PHOENIX, AZ 85032
Community/Behavioral Health
15255 N 40TH ST STE 135
PHOENIX, AZ 85032

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 Cleanslate Medical Group Of Arizona PLLC's NPI number?

The NPI number for Cleanslate Medical Group Of Arizona PLLC is 1801421656. It was assigned to this organization in the NPPES registry on March 11, 2020. The provider is doing business as Cleanslate Centers- North 40th Phoenix, AZ..

Where is Cleanslate Medical Group Of Arizona PLLC located?

Cleanslate Medical Group Of Arizona PLLC is located at 15255 N 40th St Ste 135, Phoenix, AZ 85032. The listed phone number is (480) 417-4215.

What is Cleanslate Medical Group Of Arizona PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Cleanslate Medical Group Of Arizona PLLC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Cleanslate Medical Group Of Arizona PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleanslate Medical Group Of Arizona PLLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.