Organization · Type 2 NPI

Innovative Diabetic Center, LLC

Family Medicine Physician · Scottsdale, AZ

NPI number 1235997602 Active

Practice location

10210 N 92nd St Ste 104
Scottsdale, AZ 85258-4531

Fax (833) 228-0846

Other practice locations

  • 3625 Crossings Dr Ste C, Prescott, AZ 86305-7159 · (480) 493-0900

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000XNone listed
Metabolic Nutrition Registered Dietitian 133VN1006XNone listed
Diabetes Educator Registered Nurse 163WD0400XNone listed
Infusion Therapy Registered Nurse 163WI0500XNone listed
Licensed Practical Nurse 164W00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XNone listed
Pain Medicine Physician 208VP0000XNone listed
Infusion Therapy Clinic/Center 261QI0500XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Nurse Practitioner 363L00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Scottsdale

See all in Scottsdale →

About NPI 1235997602

Innovative Diabetic Center, LLC's National Provider Identifier is 1235997602, issued on Mar 11, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Scottsdale, AZ. The record was last updated on Oct 13, 2026.