NPI Code Detail JSON Logo

1124735006 NPI number — ABBAS GHAZI PMHNP-BC

NPI Number: 1124735006
Health Care Provider/Practitioner: ABBAS GHAZI PMHNP-BC

Information about “1124735006” NPI (ABBAS GHAZI PMHNP-BC) exists in 1124735006 in HTML format HTML  |  1124735006 in plain Text format TXT  |  1124735006 in PDF (Portable Document Format) PDF  |  1124735006 in an XML format XML  formats.

NPI Number : 1124735006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124735006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GHAZI",
    "FirstName": "ABBAS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4742 N 24TH ST STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85016-9107",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-848-1935",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7201 E 31ST PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YUMA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85365-8394",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-336-5660",
    "PracticeLocationAddressFaxNumber": "928-336-5672",
    "EnumerationDate": "11/01/2022",
    "LastUpdateDate": "12/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "283298",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.