Glendale Redbird Co
NPI 1780489112ActiveOrganization· Driver· Glendale, AZ
Driver in Glendale, Arizona, registered in NPPES in February 2025, part of Radadvantage A Professional Corp. The authorized official on file is Mydung Phan, RDN, RN, Ceo.
Overview
| NPI | 1780489112 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Radadvantage A Professional Corp. |
| NPI issued | Feb 18, 2025 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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