Organization Active NPI

Dr. Matthew Khumalo, MD PC

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1255662250
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37296 Issued in AZ
Legal business name
DR. MATTHEW KHUMALO, MD PC
Doing business as
Desert Palm Family Health
Practice address
2982 E Lowell Ave
Gilbert, AZ 85295-1403
Phone
(480) 238-7621
Fax
(620) 647-4819
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. Matthew Khumalo, M.D.
Title
Ceo/Medical Director
Phone
(480) 857-0109

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 37296 AZ Primary
Primary Care Clinic/Center 261QP2300X 37296 AZ

Addresses

Primary practice location

2982 E Lowell Ave
Gilbert, AZ 85295-1403

Mailing address

2982 E Lowell Ave
Gilbert, AZ 85295-1403
Phone (480) 238-7621

Other names 1

  • Desert Palm Family Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1255662250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2982 E LOWELL AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951403",
            "telephone_number": "480-238-7621",
            "fax_number": "620-647-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2982 E LOWELL AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951403",
            "telephone_number": "480-238-7621",
            "fax_number": "620-647-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATTHEW KHUMALO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "KHUMALO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-857-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37296",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "37296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Palm Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.