East Valley Serenity Health, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EAST VALLEY SERENITY HEALTH, LLC

Practice address

4001 E Baseline Rd Ste 104
Gilbert, AZ 85234-2736

Phone

(480) 770-4540

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Ginni Orava, FNP-C

Title

Owner

Phone

(480) 770-4540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1013475854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 S STAR DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984126",
            "telephone_number": "480-770-4540",
            "fax_number": "480-420-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342736",
            "telephone_number": "480-770-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 E Williams Field Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951825",
            "country_code": "US",
            "telephone_number": "602-705-3067",
            "fax_number": "480-420-3805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST VALLEY SERENITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "ORAVA",
        "authorized_official_first_name": "GINNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-770-4540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.