NPIMap

Organization Active NPI

Dvma, LLC

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1194893800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DVMA, LLC
Practice address
13350 N 94TH Dr
Suite A101
Peoria, AZ 85381
Phone
(623) 974-1500
Fax
(623) 933-3383
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Perminder S Sanghera, MDNPI 1417028523
Title
Member
Phone
(623) 974-1500

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

13350 N 94TH Dr
Suite A101
Peoria, AZ 85381

Mailing address

13350 N 94TH Dr
Suite A101
Peoria, AZ 85381
Phone (623) 974-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000711 AZ Part B Supplier - Clinic/Group Practice 0941302053 Receives reassigned benefits from 99 practitioners
Practice locations: Glendale, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

20280 N 59th Ave
Ste 115650
Glendale, AZ 85308

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

13350 N 94th Dr
Ste A101A
Peoria, AZ 85381

13385 N 94TH Dr Ste A101
Peoria, AZ 85381

350 W Thomas Rd
Fl 3
Phoenix, AZ 85013
Phone (602) 406-6802

Practitioners & affiliated clinicians

Practitioners 108

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.

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194893800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR",
            "address_2": "SUITE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-974-1500",
            "fax_number": "623-933-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR",
            "address_2": "SUITE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-974-1500",
            "fax_number": "623-933-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANGHERA",
        "authorized_official_first_name": "PERMINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-974-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.