Individual provider Active NPI

Jason Jarvis, DO

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1174010375
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
011392 Issued in AZ
Practice address
2721 S San Tan Village Pkwy Ste 104
Gilbert, AZ 85295-0713
Phone
(480) 837-4000
Fax
(480) 837-8302
NPI assigned
Apr 13, 2018
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7702 OK
Family Medicine Physician 207Q00000X 011392 AZ Primary

Addresses

Primary practice location

2721 S San Tan Village Pkwy Ste 104
Gilbert, AZ 85295-0713

Mailing address

9905 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6920
Phone (480) 359-5563

Other practice location 1

2070 E Baseline Rd
Phoenix, AZ 85042-6948
Phone (602) 834-9071

Other practice location 2

9905 S Pennsylvania Ave Ste A
Oklahoma City, OK 73159-6920
Phone (480) 359-5563

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.jarvis.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250110002068 IA Practitioner - Family Practice 0840728382 Reassigns benefits to 2 organizations
I20250425001601 AZ Practitioner - Family Practice 0840728382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Walk-in Medical ClinicGroup PAC ID 5496975153, 13 clinicians
Floyd County Memorial Hospital CommissionGroup PAC ID 0143138669, shared by 4 NPIs, 39 clinicians

Practice addresses (Care Compare)

2070 E Baseline Rd
Phoenix, AZ 85042-6948
Phone (602) 834-9071

2721 S San Tan Village Pkwy
Suite 104
Gilbert, AZ 85295-0713
Phone (480) 837-4300

800 11TH St
Charles City, IA 50616-3468

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7702OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Family Medicine CurrentSince Apr 28, 2025 Accepting new patients
Lasala Medical LLC CurrentSince Jul 1, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine Current Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Current Accepting new patients
Floyd County Memorial Hospital Commission Current Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine CurrentSince Apr 28, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Primary Care Walk-in Medical Clinic Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine Past Accepting new patients

Locations

16605 E Palisades Blvd
Ste 150
Fountain Hls, AZ 85268
Phone (480) 837-4300

2721 S San Tan Village Pkwy
Ste 104
Gilbert, AZ 85295
Phone (480) 500-9307

2070 E Baseline Rd
Phoenix, AZ 85042
Phone (602) 834-9071

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

7609 E Pinnacle Peak Rd
Ste 9
Scottsdale, AZ 85255
Phone (480) 267-9111

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

Interoperability endpoints

  • Direct secure messaging: jason.jarvis.1@29601.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1174010375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 S PENNSYLVANIA AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596920",
            "telephone_number": "480-359-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 S SAN TAN VILLAGE PKWY STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950713",
            "telephone_number": "480-837-4000",
            "fax_number": "480-837-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 E Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850426948",
            "country_code": "US",
            "telephone_number": "602-834-9071",
            "fax_number": "888-895-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9905 S Pennsylvania Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731596920",
            "country_code": "US",
            "telephone_number": "480-359-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "JASON",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7702",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "011392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.jarvis.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2070 E Baseline Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850426948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.