Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caspian Gleam Medical Center LLC

Organization Clinic/Center · NPI 1174073837

Caspian Gleam Medical Center LLC is a Clinic/Center in Prescott, Arizona. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3130 Stillwater Dr Ste B
Prescott, AZ 86305
Phone: (801) 884-9687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1174073837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farbod Misaghian — Owner · (801) 884-9687
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 6, 2016
Mailing address3270 Rose Ln, Prescott, AZ 86305-3744

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