Organization Active NPI

Colorado River Family Healthcare, PC

  • Primary Care Clinic/Center
  • Parker, AZ
National Provider Identifier
1073680468
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34058 Issued in AZ
Legal business name
COLORADO RIVER FAMILY HEALTHCARE, PC
Practice address
601 W Riverside Dr
Ste. 3 & 4
Parker, AZ 85344-5119
Phone
(928) 669-6700
Fax
(928) 669-6709
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Melinda Astran, M.D.
Title
Physician
Phone
(928) 669-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 34058 AZ Primary

Addresses

Primary practice location

601 W Riverside Dr
Ste. 3 & 4
Parker, AZ 85344-5119

Mailing address

601 W Riverside Dr
Ste. 3 & 4
Parker, AZ 85344-5119
Phone (928) 669-6700

Other identifiers 2

IdentifierTypeStateIssuer
P00296621OtherAZRAILROAD MEDICARE
34058OtherAZMEDICAL LICENSE

Other names 1

  • MELINDA ASTRAN, MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1073680468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W RIVERSIDE DR",
            "address_2": "STE. 3 & 4",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445119",
            "telephone_number": "928-669-6700",
            "fax_number": "928-669-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W RIVERSIDE DR",
            "address_2": "STE. 3 & 4",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445119",
            "telephone_number": "928-669-6700",
            "fax_number": "928-669-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO RIVER FAMILY HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ASTRAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-669-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "34058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00296621",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "34058",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELINDA ASTRAN, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.