Active NPI
Jonathan Rafael Javier Lazaro, M.D.
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 61339
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD177853 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
- Multi-Specialty Clinic/Center
- Queen Creek, AZ
- NPI 1821397787
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1457975765
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.