Grand Canyon Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRAND CANYON FAMILY MEDICINE PC

Practice address

3960 E Riggs Rd
Suite 1
Chandler, AZ 85249-5410

Phone

(480) 786-4441

Fax

(480) 786-4609

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Tognacci, DONPI 1669404711

Title

Owner

Phone

(480) 786-4441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 14

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

• Robert Matthew Tognacci, DO

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1669404711
  Medicare reassignment Care Compare group NPD Authorized official
• Alisha Marie Courtney, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1457081408

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lorretta K McCarthy, DO

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1033126248
  Medicare reassignment Care Compare group NPD
• Mary Alice Quihuis, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1306978333
  Medicare reassignment Care Compare group NPD
• Sara Ann Kneuss, MSN, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1316096449
  Medicare reassignment NPD
• Alexander Plado, NP

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1366007700
  Medicare reassignment NPD
• Paula Fitzgerald Smith, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1073735767
  Medicare reassignment NPD
• Robin L Spencer, FNP-C

  • Family Nurse Practitioner
  • Brentwood, TN
  • NPI 1184142218

  AZ

  Medicare reassignment NPD
• Annie Celeste Hart, PA

  • Physician Assistant
  • Prescott, AZ
  • NPI 1144703257
  Medicare reassignment
• Philemon R Merrill Jr., PA-C

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1639144702
  Medicare reassignment
• Kristy Lynn Vanbeek, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Chandler, AZ
  • NPI 1437663150
  Medicare reassignment
• Ephraim Temple, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1679083802
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1164510616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495410",
            "telephone_number": "480-786-4441",
            "fax_number": "480-786-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495410",
            "telephone_number": "480-786-4441",
            "fax_number": "480-786-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CANYON FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "TOGNACCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-786-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362513",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen E Grady
• Lia Jordan Grafft
• Alexa Graham
• Lynn Graham
• Dezerea' Summer Granados
• Karen Grandi, OD
• Sean Grandinetti, RN
• Grant Chiropractic Life Center, P.C.
• Braya Grant
• Daniel Corey Grant, D.C.

• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.