Active NPI
Grand Canyon Family Medicine PC
- Family Medicine Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
- Last updated
- Jul 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert M Tognacci, DO
- Title
- Owner
- Phone
- (480) 786-4441
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AZ | Primary |
Addresses
Primary practice location
3960 E Riggs Rd
Suite 1
Chandler, AZ 85249-5410
Mailing address
3960 E Riggs Rd
Suite 1
Chandler, AZ 85249-5410
Phone (480) 786-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1064080 | Grand Canyon Family Medicine PC | Certificate of waiver | Jan 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
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.
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1669404711
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1033126248
-
- Family Nurse Practitioner
- Chandler, AZ
- NPI 1306978333
-
- Family Nurse Practitioner
- Gilbert, AZ
- NPI 1316096449
-
- Nurse Practitioner
- Scottsdale, AZ
- NPI 1366007700
-
- Family Nurse Practitioner
- Chandler, AZ
- NPI 1073735767
-
- Physician Assistant
- Prescott, AZ
- NPI 1144703257
-
- Medical Physician Assistant
- Gilbert, AZ
- NPI 1639144702
-
- Medical Physician Assistant
- Chandler, AZ
- NPI 1437663150
-
- Physician Assistant
- Chandler, AZ
- NPI 1679083802
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- 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.