OrganizationActive
Geriatric Specialties of Arizona PC
NPI 1649690603 · Non-Pharmacy Dispensing Site · Phoenix, AZ
Geriatric Specialties of Arizona PC is a Non-Pharmacy Dispensing Site organization in Phoenix, AZ (NPI 1649690603).
Provider details
- NPI number
- 1649690603
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 19651 (AZ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
6838 N 23rd Ave
Phoenix, AZ 85015-1056
Phone: (602) 864-8800
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Geriatric Specialties of Arizona
Registry dates
- Enumerated
- 2014-04-17
- Last updated
- 2014-11-10
Frequently asked questions
- What is Geriatric Specialties of Arizona PC's NPI number?
- Geriatric Specialties of Arizona PC's National Provider Identifier (NPI) is 1649690603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Geriatric Specialties of Arizona PC?
- Geriatric Specialties of Arizona PC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Geriatric Specialties of Arizona PC located?
- Geriatric Specialties of Arizona PC's practice location on file with NPPES is 6838 N 23rd Ave, Phoenix, AZ 85015-1056.
- What is Geriatric Specialties of Arizona PC's phone number?
- The practice phone number listed in the NPPES registry for Geriatric Specialties of Arizona PC is (602) 864-8800.
- Who is the authorized official for Geriatric Specialties of Arizona PC?
- The authorized official listed on Geriatric Specialties of Arizona PC's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Geriatric Specialties of Arizona PC's NPI active?
- Yes — Geriatric Specialties of Arizona PC's NPI (1649690603) is active in the NPPES registry as of the last update on 2014-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.