NPIMap

Organization Active NPI

Desert Canyon Internal Medicine PLLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1154556900
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DESERT CANYON INTERNAL MEDICINE PLLC
Practice address
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone
(602) 225-6262
NPI assigned
May 22, 2009
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Gita Jafari-Raske, MDNPI 1043270226
Title
Member
Phone
(602) 225-6262

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

7400 E Osborn Rd
Scottsdale, AZ 85251-6432

Mailing address

4802 E Ray Rd
# 23-117
Phoenix, AZ 85044-6405
Phone (602) 439-6780

National Provider Directory

National Provider Directory

Locations

4802 E Ray Rd
#23117
Phoenix, AZ 85044

4802 E Ray Rd
Ste 23117
Phoenix, AZ 85044

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1154556900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 E RAY RD",
            "address_2": "# 23-117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446405",
            "telephone_number": "602-439-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E OSBORN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516432",
            "telephone_number": "602-225-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CANYON INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "JAFARI-RASKE",
        "authorized_official_first_name": "GITA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-225-6262",
        "authorized_official_credential": "MD"
    },
    "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 Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.