Individual provider Active NPI

Itzamara Elias Adona

  • Family Medicine Physician
  • Douglas, AZ
National Provider Identifier
1174427991
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218423 Issued in AZ
Practice address
6911 N Bdi Blvd
Douglas, AZ 85607-6202
Phone
(520) 364-7521
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218423 AZ Primary

Addresses

Primary practice location

6911 N Bdi Blvd
Douglas, AZ 85607-6202

Mailing address

2610 E 13TH St
Douglas, AZ 85607-2526
Phone (520) 368-8491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1174427991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E 13TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072526",
            "telephone_number": "520-368-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 N BDI BLVD",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856076202",
            "telephone_number": "520-364-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS ADONA",
        "first_name": "ITZAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "218423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.