NPIMap

Organization Active NPI

My Family Doctor in the Valley PLLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1003130204
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36997 Issued in AZ
Legal business name
MY FAMILY DOCTOR IN THE VALLEY PLLC
Practice address
11030 N Tatum Blvd
Ste 101
Phoenix, AZ 85028-6073
Phone
(602) 687-8265
NPI assigned
Mar 17, 2010
Last updated
Jun 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nirek Rastogi, MDNPI 1376651174
Title
Member
Phone
(602) 687-8265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36997 AZ Primary

Addresses

Primary practice location

11030 N Tatum Blvd
Ste 101
Phoenix, AZ 85028-6073

Mailing address

PO Box 31853
Phoenix, AZ 85046-1853
Phone (602) 687-8265

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1003130204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31853",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850461853",
            "telephone_number": "602-687-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD",
            "address_2": "STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-687-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY DOCTOR IN THE VALLEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "NIREK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-687-8265",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.