Organization Active NPI

Arizona Primary Care Physicians, LLC

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1033523949
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARIZONA PRIMARY CARE PHYSICIANS, LLC
Practice address
5620 W Thunderbird Rd
Suite F-1
Glendale, AZ 85306-4636
Phone
(623) 215-9432
Fax
(602) 735-3796
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Mr. Blue Beckham
Title
Executive Vice President
Phone
(623) 215-9452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5620 W Thunderbird Rd
Suite F-1
Glendale, AZ 85306-4636

Mailing address

16155 N 83Rd Ave
Suite 201
Peoria, AZ 85382-5815
Phone (623) 215-9432

Other identifiers 2

IdentifierTypeStateIssuer
DV5855OtherAZRAILROAD MEDICARE PTAN
Z174630OtherAZMEDICARE PTAN

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

17100 N 67th Ave
Ste 502
Glendale, AZ 85308
Phone (623) 466-6339

5620 W Thunderbird Rd
Ste C1
Glendale, AZ 85306
Phone (602) 843-1317

2345 E Southern Ave
Ste 101
Mesa, AZ 85204
Phone (480) 893-2345

13391 N 94th Dr
Peoria, AZ 85381
Phone (623) 232-9841

8410 W Thomas Rd
Ste 112
Phoenix, AZ 85037
Phone (602) 373-7048

2915 W Rose Garden Ln
Ste 101
Phoenix, AZ 85027
Phone (623) 888-6401

13640 N 99th Ave
Ste 400
Sun City, AZ 85351
Phone (480) 430-6601

10192 W Coggins Dr
Sun City, AZ 85351
Phone (602) 974-2434

13949 W Meeker Blvd
Ste E
Sun City West, AZ 85375
Phone (623) 256-6642

15129 W Paradise Ln
Surprise, AZ 85374
Phone (623) 546-9481

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1033523949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 N 83RD AVE",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825815",
            "telephone_number": "623-215-9432",
            "fax_number": "602-735-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "SUITE F-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "623-215-9432",
            "fax_number": "602-735-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "BLUE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "623-215-9452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DV5855",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z174630",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.