NPI 1407805088 · live from the CMS NPI Registry
1st Care Medical Clinic
Family Medicine in Phoenix, AZ. National Provider Identifier 1407805088, active.
NPI record
| NPI | 1407805088 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1635 W Glendale Ave, Phoenix, AZ 85021 |
| Practice phone | 602-544-2273 |
| Mailing address | Po Box 18810, Belfast, ME 04915 |
| Enumerated | May 9, 2006 |
| Last updated | May 21, 2026 |
| Authorized official | Rajesh Thiraviam Pillai, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.