Individual provider Active NPI

Sona S Giknavorian, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1225132608
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
29795 Issued in AZ
Practice address
2345 E Thomas Rd Ste 420
Suite # 420
Phoenix, AZ 85016-7862
Phone
(602) 955-5700
Fax
(602) 955-5701
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29795 AZ
Geriatric Medicine (Family Medicine) Physician 207QG0300X 29795 AZ Primary

Addresses

Primary practice location

2345 E Thomas Rd Ste 420
Suite # 420
Phoenix, AZ 85016-7862

Mailing address

2345 E Thomas Rd Ste 420
Suite # 420
Phoenix, AZ 85016-7862
Phone (602) 955-5700

Other identifiers 1

IdentifierTypeStateIssuer
899320MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000147 AZ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8921026113 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nayef T. Resk MD Inc. Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
VHS Outpatient Clinics, Inc. Internal Medicine PastSince Aug 23, 2020 Accepting new patients
Estrella Family Medical, LLC. Past Accepting new patients

Locations

3003 Highway 95
Ste 35
Bullhead City, AZ 86442
Phone (928) 704-0400

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1225132608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E THOMAS RD STE 420",
            "address_2": "SUITE # 420",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167862",
            "telephone_number": "602-955-5700",
            "fax_number": "602-955-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E THOMAS RD STE 420",
            "address_2": "SUITE # 420",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167862",
            "telephone_number": "602-955-5700",
            "fax_number": "602-955-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIKNAVORIAN",
        "first_name": "SONA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29795",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "29795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899320",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.