NPIMap

Organization Active NPI

Central Arizona Gastroenterology PC

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1093518995
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CENTRAL ARIZONA GASTROENTEROLOGY PC
Practice address
3638 E Southern Ave Ste C108
Mesa, AZ 85206-2564
Phone
(480) 834-0771
NPI assigned
Mar 28, 2025
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Daras Adams
Title
Owner Representative
Phone
(480) 252-5477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

3638 E Southern Ave Ste C108
Mesa, AZ 85206-2564

Mailing address

8704 E Hannibal St
Mesa, AZ 85207-4110
Phone (480) 252-5477

National Provider Directory

National Provider Directory

Locations

3638 E Southern Ave
Ste C108
Mesa, AZ 85206
Phone (480) 834-0771

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1093518995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 E HANNIBAL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074110",
            "telephone_number": "480-252-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE STE C108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062564",
            "telephone_number": "480-834-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARIZONA GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DARAS",
        "authorized_official_title_or_position": "OWNER REPRESENTATIVE",
        "authorized_official_telephone_number": "480-252-5477"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "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 Mar 28, 2025; 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.