NPIMap

Organization Active NPI

Jarvis Tzeng DO P a

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1104104488
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JARVIS TZENG DO P A
Practice address
108 10 N Tatum Blvd 102-132
Phoenix, AZ 85028
Phone
(480) 389-6863
Fax
(888) 819-9648
NPI assigned
Aug 3, 2011
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Jarvis Arthur Tzeng, DONPI 1811137722
Title
President
Phone
(480) 389-6863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

108 10 N Tatum Blvd 102-132
Phoenix, AZ 85028

Mailing address

428 Childers St Ste 23343
Pensacola, FL 32534-9630
Phone (480) 389-6863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111003000683 AZ Part B Supplier - Clinic/Group Practice 8325210917 Receives reassigned benefits from 27 practitioners
Practice locations: Chandler, AZ; Scottsdale, AZ; Phoenix, AZ; Peoria, AZ; Mesa, AZ; Glendale, AZ; Avondale, AZ

National Provider Directory

National Provider Directory

Locations

11527 W Peoria Ave
Youngtown, AZ 85363
Phone (623) 933-3333

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1104104488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CHILDERS ST STE 23343",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349630",
            "telephone_number": "480-389-6863",
            "fax_number": "888-819-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 10 N TATUM BLVD 102-132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "480-389-6863",
            "fax_number": "888-819-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIS TZENG DO P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "TZENG",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-389-6863",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.