Organization Active NPI

Afc Physical Medicine of San Tan Valley, PLLC

  • Non-Pharmacy Dispensing Site
  • San Tan Valley, AZ
National Provider Identifier
1184994287
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
AFC PHYSICAL MEDICINE OF SAN TAN VALLEY, PLLC
Practice address
270 E Hunt Hwy
Suite a-2
San Tan Valley, AZ 85143-4962
Phone
(480) 882-2222
NPI assigned
Jan 5, 2012
Last updated
Aug 22, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
AFC PHYSICAL MEDICINE OF SAN TAN VALLEY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Authorized official

Name
Donna J. Finnegan, NP
Title
Medical Director
Phone
(480) 882-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

270 E Hunt Hwy
Suite a-2
San Tan Valley, AZ 85143-4962

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Afc Physical Medicine of San Tan Valley PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1184994287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E HUNT HWY",
            "address_2": "SUITE A-2",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434962",
            "telephone_number": "480-882-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC PHYSICAL MEDICINE OF SAN TAN VALLEY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFC PHYSICAL MEDICINE OF SAN TAN VALLEY, PLLC",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "FINNEGAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-882-2222",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.