Maryvale Pain Management, LLC
NPI 1730765124ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Chandler, AZ
Pain Medicine, Interventional Pain Medicine in Chandler, Arizona, registered in NPPES in March 2021. The authorized official on file is Seana Perea, Billing Manager.
Overview
| NPI | 1730765124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2021 |
| Last updated in NPPES | Mar 24, 2021 |
| Certified by provider | Mar 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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