Organization Active NPI

Desert View Family Practice Inc

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1124033717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26554 Issued in AZ
Legal business name
DESERT VIEW FAMILY PRACTICE INC
Practice address
26224 N Tatum Blvd
Suite 5
Phoenix, AZ 85050-7500
Phone
(602) 923-5975
Fax
(602) 923-5943
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Anoop Kumar
Title
Administrator Owner
Phone
(602) 923-5975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 26554 AZ Primary

Addresses

Primary practice location

26224 N Tatum Blvd
Suite 5
Phoenix, AZ 85050-7500

Mailing address

26224 N Tatum Blvd
Suite 5
Phoenix, AZ 85050-7500
Phone (602) 923-5975

National Provider Directory

National Provider Directory

Locations

26224 N Tatum Blvd
Ste 9
Phoenix, AZ 85050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124033717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26224 N TATUM BLVD",
            "address_2": "SUITE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507500",
            "telephone_number": "602-923-5975",
            "fax_number": "602-923-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26224 N TATUM BLVD",
            "address_2": "SUITE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507500",
            "telephone_number": "602-923-5975",
            "fax_number": "602-923-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ANOOP",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "602-923-5975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26554",
            "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 Aug 22, 2020; 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.