Organization Active NPI

Akos Primary Care, LLC

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1235769613
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AKOS PRIMARY CARE, LLC
Practice address
5104 N 67TH Ave
Glendale, AZ 85301-6541
Phone
(602) 899-4404
Fax
(866) 855-4243
NPI assigned
Jan 24, 2020
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Timothy Cozatt
Title
Project/Relations Officer
Phone
(602) 899-4404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

5104 N 67TH Ave
Glendale, AZ 85301-6541

Mailing address

PO Box 41638
Phoenix, AZ 85080-1638
Phone (602) 899-4404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1235769613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41638",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801638",
            "telephone_number": "602-899-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016541",
            "telephone_number": "602-899-4404",
            "fax_number": "866-855-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKOS PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "COZATT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PROJECT/RELATIONS OFFICER",
        "authorized_official_telephone_number": "602-899-4404"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.