Jarvis Tzeng, DO, P.a.

Organization Active NPI Internal Medicine Physician · Phoenix, AZ

NPI 1104104488 · NPPES record last updated Aug 18, 2026

Key facts

NPI
1104104488
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 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
Organization subpart
No

Authorized official

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

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

Practitioners 27

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

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

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

Locations

20625 N Lake Pleasant Rd
Peoria, AZ 85382
Phone (623) 476-3664

428 Childers St
Pensacola, FL 32534
Phone (540) 818-5752

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

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

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Internal Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.