Organization Active NPI

Osna Primary Care, LLC

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1063855088
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OSNA PRIMARY CARE, LLC
Practice address
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234-2171
Phone
(480) 964-2908
Fax
(480) 833-2136
NPI assigned
Apr 9, 2013
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
OSNA PRIMARY CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
John Kinna
Title
Chief Executive Officer
Phone
(602) 772-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Sports Medicine (Family Medicine) Physician 207QS0010X NU

Addresses

Primary practice location

2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234-2171

Mailing address

PO Box 271429
Salt Lake City, UT 84127-1429
Phone (602) 772-3800

Other names 1

  • Mezona Orthopaedic Other name

National Provider Directory

National Provider Directory
Part of
Osna Primary Care LLC

Locations

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1063855088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271429",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271429",
            "telephone_number": "602-772-3800",
            "fax_number": "602-772-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E BANNER GATEWAY DR",
            "address_2": "STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342171",
            "telephone_number": "480-964-2908",
            "fax_number": "480-833-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSNA PRIMARY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSNA PRIMARY CARE, LLC",
        "enumeration_date": "2013-04-09",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "KINNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-772-3800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mezona Orthopaedic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.