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NPI · 1689461774 · NPPES-sourced

Presidium Medical Group PLLC

ActiveAdult Medicine Physician
NPI Number
1689461774
Type 2 · Organisation
Taxonomy Code
207QA0505X
Contact
(619) 738-5566
Primary practice line
Last Updated
About 13 months ago (Apr 2025)
Enumerated 2025-04-22
Primary practice addressUT · 84111-2704
32 E Exchange Pl Fl 6Salt Lake City, UT 84111-2704
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About this NPIWhat this record shows.

NPI 1689461774 is registered to Presidium Medical Group PLLC, a healthcare organisation classified as "Adult Medicine Physician" and located at 32 E Exchange Pl Fl 6 in Salt Lake City, Utah. The organisation's authorised official is Ashkan Hayatdavoudi. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2025-04-22
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Presidium Medical Group PLLC accepts. To confirm in-network status with your specific health plan, contact Presidium Medical Group PLLC directly at (619) 738-5566.

Frequently asked

Yes. NPI 1689461774 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adult Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (619) 738-5566.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Presidium Medical Group PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207QA0505X
Last updated2025-04
Enumerated2025-04-22
StatusActive
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