Organization Active NPI

Casa Grande Family Physicians PC

  • Family Medicine Physician
  • Casa Grande, AZ
National Provider Identifier
1295085678
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CASA GRANDE FAMILY PHYSICIANS PC
Practice address
1760 E Florence Blvd Ste 260
Casa Grande, AZ 85122-4769
Phone
(520) 836-3600
Fax
(520) 836-6757
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Aniceto C Gonda, M.D.
Title
Doctor
Phone
(520) 836-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1760 E Florence Blvd Ste 260
Casa Grande, AZ 85122-4769

Mailing address

1760 E Florence Blvd
Ste 260
Casa Grande, AZ 85122-4764
Phone (520) 836-3600

Other names 1

  • Casa Grande Family Physicians PC 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": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1295085678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E FLORENCE BLVD",
            "address_2": "STE 260",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224764",
            "telephone_number": "520-836-3600",
            "fax_number": "520-836-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E FLORENCE BLVD STE 260",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224769",
            "telephone_number": "520-836-3600",
            "fax_number": "520-836-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "GONDA",
        "authorized_official_first_name": "ANICETO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "520-836-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Grande Family Physicians PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.