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DESERT RIDGE ANGIC LLC
NPI 1821680539
General Practice in Phoenix, AZ

Active since February 04, 2021
21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050(480) 306-7832 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2023, Aug 19, 2021, Feb 4, 2021 (3 updates tracked since 2021).

About Desert Ridge Angic Llc NPPES

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

DESERT RIDGE ANGIC LLC (NPI 1821680539) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since February 2021. The organization lists Radman Rahiminejad, Owner, as its authorized official.

NPPES Registry Identity

NPI1821680539
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDESERT RIDGE ANGIC LLC
Location Address21001 N TATUM BLVD STE 78-1640Phoenix, AZ 85050-5244
Mailing AddressPo Box 6610Chandler, AZ 85246-6610 · (480) 926-7800 · Fax (480) 926-2260
Phone(480) 306-7832
Organization SubpartNo
Authorized OfficialRadman RahiminejadOwner · (480) 926-7800
Enumeration DateFebruary 4, 2021
Last NPPES UpdateJanuary 5, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1821680539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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

Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysician AssistantTaxonomy 363A00000X
21001 N TATUM BLVD STE 78-1640, Phoenix, AZ 85050
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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 20

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

TATUM PROFESSIONAL GROUP LLC
Pain Medicine (Interventional Pain Medicine)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
TATUM ANESTHESIA GROUP LLC
Anesthesiology
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
TATUM PAIN VENTURES LLC
Clinic/Center (Ambulatory Surgical)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DV ANESTHESIA GROUP LLC
Anesthesiology
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DV PAIN VENTURES LLC
Clinic/Center (Ambulatory Surgical)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DV PROFESSIONAL GROUP LLC
Pain Medicine (Interventional Pain Medicine)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DESERT RIDGE PAIN FACILITY
Clinic/Center (Ambulatory Surgical)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DRPS IOM TECHNICAL LLC
Psychiatry & Neurology (Neurology)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662

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 Desert Ridge Angic LLC's NPI number?

The NPI number for Desert Ridge Angic LLC is 1821680539. It was assigned to this organization in the NPPES registry on February 4, 2021.

Where is Desert Ridge Angic LLC located?

Desert Ridge Angic LLC is located at 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050. The listed phone number is (480) 306-7832.

What is Desert Ridge Angic 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 Desert Ridge Angic LLC was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.