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Black Diamond Medical LLC

Primary Care Nurse Practitioner in Peoria, AZ · enumerated 2018 · authorized official Tonia Graham, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639644909

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Registry record

Entity type Organization (Type 2)
Legal business name Black Diamond Medical LLC
Practice address 20449 N Lake Pleasant Rd Ste 101, Peoria, AZ, 85382
Phone (623) 322-0099
Enumeration date Oct 12, 2018
Last updated in NPPES Mar 6, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Tonia Graham
Title Co-Owner
Phone (623) 322-0099

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Black Diamond Medical LLC?
NPPES lists Tonia Graham (Co-Owner) as the authorized official for this organization.
What is the NPI number for Black Diamond Medical LLC?
The NPI for Black Diamond Medical LLC is 1639644909, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-06.