Active NPI
Tripp Family Medicine, P.a.
- Primary Care Clinic/Center
- Mesa, AZ
National Provider Identifier
1003946302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 4321
- Legal business name
- TRIPP FAMILY MEDICINE, P.A.
- Practice address
- 2830 E Brown Rd
Suite 1
Mesa, AZ 85213-5430 - Phone
- (480) 830-7546
- Fax
- (480) 830-7550
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Paul Tripp, D.O.
- Title
- President
- Phone
- (480) 830-7546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4321 | AZ | Primary |
Addresses
Primary practice location
2830 E Brown Rd
Suite 1
Mesa, AZ 85213-5430
Mailing address
2830 E Brown Rd
Suite 1
Mesa, AZ 85213-5430
Phone (480) 830-7546
National Provider Directory
National Provider DirectoryLocations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003946302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 E BROWN RD",
"address_2": "SUITE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852135430",
"telephone_number": "480-830-7546",
"fax_number": "480-830-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 E BROWN RD",
"address_2": "SUITE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852135430",
"telephone_number": "480-830-7546",
"fax_number": "480-830-7550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIPP FAMILY MEDICINE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRIPP",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-830-7546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AZ",
"license": "4321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.