Healthcare Provider Details

I. General information

NPI: 1568298560
Provider Name (Legal Business Name): THE CARE CONCIERGE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7659 E PINNACLE PEAK RD STE 110
SCOTTSDALE AZ
85255-6298
US

IV. Provider business mailing address

PO BOX 8121
PHOENIX AZ
85066-8121
US

V. Phone/Fax

Practice location:
  • Phone: 480-576-8202
  • Fax: 480-801-2323
Mailing address:
  • Phone: 480-576-8202
  • Fax: 480-801-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. LYLE MIYASHIRO
Title or Position: OWNER
Credential: PA-C
Phone: 480-567-8202