Individual provider Active NPI

Jonathan Rafael Javier Lazaro, M.D.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1104266956
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61339 Issued in AZ
Practice address
1840 S Stapley Dr Ste 101
Mesa, AZ 85204-6682
Phone
(480) 464-8500
Fax
(480) 464-6910
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD177853 OR
Family Medicine Physician 207Q00000X 61339 AZ Primary

Addresses

Primary practice location

1840 S Stapley Dr Ste 101
Mesa, AZ 85204-6682

Mailing address

2750 Shadow View Dr Apt 224
Eugene, OR 97408-4642
Phone (412) 330-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106001276 AZ Practitioner - Family Practice 4183940539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5252
Phone (480) 882-7470

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD177853ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 3, 2020 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 3, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 532-4060

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

10900 N Scottsdale Rd
Ste 606
Scottsdale, AZ 85254
Phone (480) 368-2500

10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

1355 N Scottsdale Rd
Ste 170
Scottsdale, AZ 85257
Phone (480) 840-0840

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

Interoperability endpoints

  • Direct secure messaging: jlazaro26189@evernorth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1104266956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SHADOW VIEW DR APT 224",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084642",
            "telephone_number": "412-330-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S STAPLEY DR STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046682",
            "telephone_number": "480-464-8500",
            "fax_number": "480-464-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "JONATHAN RAFAEL",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD177853",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "61339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.