DR. MATTHEW KHUMALO, MD PC (NPI# 1255662250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255662250 |
| Entity Type | Organization |
| Organization Name | DR. MATTHEW KHUMALO, MD PC |
| Other Organization Name | DESERT PALM FAMILY HEALTH |
| Practice Address |
2181 E Pecos Rd Suite #1 Chandler AZ 85225-6140 |
| Practice Telephone | 4808570109 |
| Practice Fax Number | 4803983643 |
| Mailing Telephone | 4808570109 |
| Mailing Fax Number | 4803983643 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | DR. MATTHEW KHUMALO (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4808570109 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
37296 | AZ | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | 37296 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Desert Palm Family Health | Doing Business As Name - Organization |
| Street Address |
2181 E PECOS RD SUITE #1 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013241165 | Santan Health Services, LLC | Family Medicine | 2181 E Pecos Rd, Suite 1, Chandler, AZ 85225-6140 | 2009-09-22 |
| 1720480379 | Christopher Dwiggins | Physician Assistant | 2181 E Pecos Rd, Chandler, AZ 85225-6140 | 2014-09-25 |
| 1740529536 | Physical Medicine of Arizona, LLC | Family Medicine | 2181 E Pecos Rd, Suite 1, Chandler, AZ 85225-6140 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416011 | Connective Med, LLC | Family Medicine | 1641 S Carriage Ln, Chandler, AZ 85286-6711 | 2020-04-17 |
| 1326673906 | Patricia Elzner | Family Medicine | 2470 W Edgewater Way Apt 2061, Chandler, AZ 85248-3012 | 2020-03-04 |
| 1669019220 | Balance Hormone Chandler, Pllc | Family Medicine | 2095 W Pecos Rd Ste 396, Chandler, AZ 85224-5724 | 2019-12-03 |
| 1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
| 1265900591 | Jessie Jiyeon Dziduch | Family Medicine | 1256 W Chandler Blvd Ste 32, Chandler, AZ 85224-5226 | 2018-11-05 |
| 1578077608 | Chandler Medical Center, LLC | Family Medicine | 1055 W Queen Creek Rd Ste 2, Chandler, AZ 85248-8134 | 2017-11-28 |
| 1083093538 | Personacare Medical LLC | Family Medicine | 1530 W Kent Dr, Chandler, AZ 85224-8537 | 2015-05-29 |
| 1982090148 | Barbee Primary Care, Pllc | Family Medicine | 1100 S Dobson Rd, Bldg A, #205b, Chandler, AZ 85286 | 2015-04-14 |
| 1053703801 | Atlas Medical Group, Inc | Family Medicine | 2350 E Germann Rd, Ste 31, Chandler, AZ 85286-1579 | 2015-03-02 |
| 1649572546 | Frank Truong | Family Medicine | 1435 S Alma School Rd, Chandler, AZ 85286-7144 | 2010-11-27 |
| Find all providers in CHANDLER | ||||
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| 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.