OrganizationActive
Maricopa Mobile Med, Inc.
NPI 1346619087 · Primary Care Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1346619087
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Buckwalter, Business Manager(520) 858-6181
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2902 W Clarendon Ave
Phoenix, AZ 85017-4609
Phone: (520) 858-6181
Fax: (866) 624-8718
Street-level locationGet directions
Mailing address
20548 N Donithan Way
Maricopa, AZ 85138-2466
Other names (DBA / former)
- Other name
- Maricopa Mobile Med
Registry dates
- Enumerated
- 2015-09-23
- Last updated
- 2016-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.