Omg Arizona, LLC in Phoenix, AZ
This organization bills under NPI 1184014854, an organization record issued on Feb 2, 2015 with the primary taxonomy Family Medicine Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1184014854
- Legal name
- Omg Arizona, LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- Practice location
- 2201 E CAMELBACK RD SUITE 101A, Phoenix, AZ 85016
- Phone
- 602-218-4075
- Mailing address
- San Francisco, CA
- Enumerated
- Feb 2, 2015
- Record updated
- Dec 14, 2020
- Authorized official
- President (title as filed)
3 clinicians CMS lists with Omg Arizona in Phoenix
- Maria Andrews, FNPFamily Nurse Practitioner1801196175
- Tara Debardeleben, NPFamily Nurse Practitioner1265828230
- Elle Ross, DO PHD MSInternal Medicine Physician1275976706
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Arizona secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 207Q00000X Family Medicine Physician
- 207R00000X Internal Medicine Physician
Common questions
Why is the mailing address in California?
The mailing address in the record (San Francisco, CA) is where the organization receives mail. Care is given at the practice location in Phoenix.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.