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NPI 1861701625 · Occupational Medicine Clinic/Center · Tempe, AZ
Provider details
- NPI number
- 1861701625
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phaedra Antioco, Owner(520) 401-1081
- License
- 2668 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1801 S Jentilly Ln
Suite A4
Tempe, AZ 85281-5758
Phone: (520) 401-1081
Street-level locationGet directions
Mailing address
3801 E Park Ave
Phoenix, AZ 85044-8255
Registry dates
- Enumerated
- 2010-09-28
- Last updated
- 2010-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.