OrganizationActive
Black Canyon Medical L.L.C.
NPI 1164619821 · Family Medicine Physician · Mayer, AZ
Black Canyon Medical L.L.C. is a Family Medicine Physician organization in Mayer, AZ (NPI 1164619821).
Provider details
- NPI number
- 1164619821
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kerry Malin, Provider(928) 710-5851
- License
- 3297 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17301 E Spring Valley Rd
Mayer, AZ 86333-4263
Phone: (928) 632-4909
Fax: (928) 632-4973
Street-level locationGet directions
Mailing address
17301 E Spring Valley Rd Ste F
Mayer, AZ 86333-4263
Other names (DBA / former)
- Doing business as
- Malin Medical, LLC
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2020-03-09
- Certified
- 2020-03-09
Frequently asked questions
- What is Black Canyon Medical L.L.C.'s NPI number?
- Black Canyon Medical L.L.C.'s National Provider Identifier (NPI) is 1164619821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Canyon Medical L.L.C.?
- Black Canyon Medical L.L.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Black Canyon Medical L.L.C. located?
- Black Canyon Medical L.L.C.'s practice location on file with NPPES is 17301 E Spring Valley Rd, Mayer, AZ 86333-4263.
- What is Black Canyon Medical L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Black Canyon Medical L.L.C. is (928) 632-4909.
- Who is the authorized official for Black Canyon Medical L.L.C.?
- The authorized official listed on Black Canyon Medical L.L.C.'s NPPES record is Kerry Malin, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Canyon Medical L.L.C.'s NPI active?
- Yes — Black Canyon Medical L.L.C.'s NPI (1164619821) is active in the NPPES registry as of the last update on 2020-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.