EAST VALLEY PRIMARY CARE PHYSICIANS (NPI# 1023014883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023014883 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY PRIMARY CARE PHYSICIANS |
| Practice Address |
4515 S Mcclintock Dr Ste 100 Tempe AZ 85282-7381 |
| Practice Telephone | 4808201133 |
| Practice Fax Number | 4808209292 |
| Mailing Telephone | 4808201133 |
| Mailing Fax Number | 4808209292 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. FLORA A CAMACHO (OFFICE MANAGER) |
| Authorized Official Telephone | 4808201133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
18615 | AZ | Ambulatory Health Care Facilities |
| Street Address |
4515 S MCCLINTOCK DR STE 100 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921871 | Vibrantcare Outpatient Rehabilitation West Inc | Clinic/Center | 4515 S Mcclintock Dr, Ste 110, Tempe, AZ 85282-7381 | 2005-06-10 |
| 1376036038 | Tlk Management Corp | Home Health | 4515 S Mcclintock Dr, Tempe, AZ 85282-7376 | 2018-06-07 |
| 1962916429 | Brock Petri | Specialist/Technologist, Other | 4515 S Mcclintock Dr, Tempe, AZ 85282-7376 | 2017-11-20 |
| 1639611130 | Omni Dermatology Tempe LLC | Specialist | 4515 S Mcclintock Dr, Ste 101, Tempe, AZ 85282-7376 | 2016-11-15 |
| 1326406315 | Legacy Heart Care of Phoenix, LLC | Internal Medicine | 4515 S Mcclintock Dr, Ste 120, Tempe, AZ 85282-7376 | 2016-02-04 |
| 1336519230 | Phxrx, LLC | Pharmacy | 4515 S Mcclintock Dr, Ste 210, Tempe, AZ 85282-7376 | 2015-10-05 |
| 1538506373 | Bridget A Mercer | Occupational Therapist | 4515 S Mcclintock Dr, Tempe, AZ 85282-7376 | 2013-06-03 |
| 1386088904 | Angel Clinic LLC | Clinic/Center | 4515 S Mcclintock Dr, #120, Tempe, AZ 85282-7376 | 2013-04-25 |
| 1538408430 | Brightstar Care of Phoenix | Home Health | 4515 S Mcclintock Dr, Suite 203, Tempe, AZ 85282-7376 | 2013-02-12 |
| 1346599446 | Kali Delzompo | Physician Assistant | 4515 S Mcclintock Dr, Ste 100, Tempe, AZ 85282-7376 | 2012-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245779784 | Scottsdale Healthcare Corp | Clinic/Center | 450 E Rio Salado Pkwy, Building C, Ste. 110-113, Tempe, AZ 85281-0803 | 2017-02-16 |
| 1669760203 | Vitality Internal Medicine - Tempe LLC | Clinic/Center | 4653 S Lakeshore Dr Ste 2, Tempe, AZ 85282-7161 | 2011-07-18 |
| 1780644914 | Kim M Lucas Md Pllc | Clinic/Center | 1968 E. Baseline Rd. Ste. F101, Tempe, AZ 85283 | 2006-03-23 |
| 1003373507 | Sellerssportsmed LLC | Clinic/Center | 1840 E Baseline Rd Ste C2, Tempe, AZ 85283-1528 | 2019-02-21 |
| 1417459561 | Welsh Company LLC | Clinic/Center | 1840 E Warner Rd Ste 120, Tempe, AZ 85284-3445 | 2018-03-05 |
| 1376905786 | Healthy Wings LLC | Clinic/Center | 512 E Southern Ave Ste B, Tempe, AZ 85282-5209 | 2016-03-24 |
| 1972988657 | Terros, Inc | Clinic/Center | 1642 S Priest Dr, Bldg 6, Ste 101, Tempe, AZ 85281-6204 | 2015-07-23 |
| 1811258858 | Concentra Primary Care of Arizona Pa | Clinic/Center | 1315 W Southern Ave, Tempe, AZ 85282-4519 | 2012-06-06 |
| 1073806337 | David J. Jagoda Md PC | Clinic/Center | 2009 E 5th St Ste 9, Tempe, AZ 85281-3067 | 2011-05-19 |
| 1194944330 | All About Kids Pediatrics | Clinic/Center | 4450 S Rural Rd, Suite C 216, Tempe, AZ 85282-7037 | 2007-04-25 |
| Find all providers in TEMPE | ||||
Please comment or provide details below to improve the information on EAST VALLEY PRIMARY CARE PHYSICIANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.