Ohana Kids & Family Kare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OHANA KIDS & FAMILY KARE LLC

Practice address

3130 E Baseline Rd Ste 103
Mesa, AZ 85204-7290

Phone

(480) 539-7618

Fax

(480) 900-8884

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Luz Angela Lopez, MDNPI 1124081823

Title

President

Phone

(480) 889-4565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luz Angela Lopez, M.D

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1124081823
  Medicare reassignment Care Compare group NPD Authorized official
• Sardis Duany Caises, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1518680412
  Medicare reassignment Care Compare group NPD
• Simon Pedro Jacquez, PA

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1336820976
  Medicare reassignment Care Compare group
• Laura Ann Andersen, PAC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1710061171
  Medicare reassignment
• Klint Layton Webb, P.A.-C

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1649507088
  Medicare reassignment
• Adam Bleger, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1205204013
  NPD (past)
• Eva Denisse Gonzalez, APRN, FNP-C

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1063917706

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1003356320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E BASELINE RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047290",
            "telephone_number": "480-539-7618",
            "fax_number": "480-900-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E BASELINE RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047290",
            "telephone_number": "480-539-7618",
            "fax_number": "480-900-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6211 N 35th Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850171415",
            "country_code": "US",
            "telephone_number": "602-242-5000",
            "fax_number": "480-591-8951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3305 E Greenway Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850324509",
            "country_code": "US",
            "telephone_number": "602-867-1252",
            "fax_number": "480-591-8951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHANA KIDS & FAMILY KARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-09-06",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-889-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel U. Ogbonnaya, M.D.
• Kelton Ogrady
• Jean N Ogu, PMHNP
• Oluwakemi Odun Ogunleye
• Ohana Behavioral Services, LLC
• Tom Ohara, D.C.
• Jennifer Susan Ohlund, LAC
• Connor H Ohmart, MD
• Rodney H Ohmart, MD
• Ohmin Kwon MD PLLC

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.