Individual provider Active NPI

Jose Rapanan Jr., DO

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1003341306
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008141 Issued in AZ
Practice address
10032 E Southern Ave
Mesa, AZ 85209-2759
Phone
(480) 351-2850
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008141 AZ Primary

Addresses

Primary practice location

10032 E Southern Ave
Mesa, AZ 85209-2759

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other practice location 1

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007003288 AZ Practitioner - Family Practice 5092046987 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Life Family Health Center IncGroup PAC ID 9335032275, 46 clinicians

Practice addresses (Care Compare)

10032 E Southern Ave
Mesa, AZ 85209-2759
Phone (480) 351-2850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Jul 17, 2023 Accepting new patients
NM Pacs 2 LLC CurrentSince Jun 1, 2021 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Jun 21, 2021 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Jun 1, 2021 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients
Arizona Acute Medical Services 1 PC Past Accepting new patients

Locations

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

800 W University Ave
Flagstaff, AZ 86001
Phone (928) 779-6931

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

10032 E Southern Ave
Mesa, AZ 85209
Phone (480) 339-2853

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

3333 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 331-7702

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

2001 N Park Ave
Tucson, AZ 85719
Phone (520) 882-3558

2250 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 232-1019

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCGHAD/Endpoint/CCGHAD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1003341306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092759",
            "telephone_number": "480-351-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452819",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPANAN",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "008141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.