OrganizationActive
Maryvale Pain Management, LLC
NPI 1730765124 · Interventional Pain Medicine Physician · Chandler, AZ
Provider details
- NPI number
- 1730765124
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Seana Perea, Billing Manager(480) 737-1895
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
604 W Warner Rd Ste C2
Chandler, AZ 85225-2915
Phone: (480) 786-4644
Street-level locationGet directions
Mailing address
604 W Warner Rd Ste C2
Chandler, AZ 85225-2915
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2021-03-24
- Certified
- 2021-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.