NPIMap

Individual provider Active NPI

Goshtasb Javdan, M.D.

  • Family Medicine Physician
  • Avondale, AZ
National Provider Identifier
1306090998
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43163 Issued in AZ
Practice address
950 E Van Buren St
Avondale, AZ 85323-1506
Phone
(623) 344-6800
Fax
(623) 344-6801
NPI assigned
Nov 9, 2008
Last updated
May 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43163 AZ Primary

Addresses

Primary practice location

950 E Van Buren St
Avondale, AZ 85323-1506

Mailing address

950 E. Van Buren Street
Avondale Family Health Center
Avondale, AZ 85323
Phone (623) 344-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000899 AZ Practitioner - Family Practice 6709069446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

950 E Van Buren St
Avondale, AZ 85323-1506
Phone (623) 344-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43163AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Sep 3, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Jan 30, 2012 Accepting new patients
Maricopa County Special Heallth Care District CurrentSince Aug 20, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Jan 30, 2012 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Cigna Health Care of Arizona Inc CurrentSince Sep 3, 2019 Accepting new patients
Clinica Dr Alfonso Salas PC Past Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • Direct secure messaging: gjavdan26241@direct.valleywisehealth.org

Organizations & group practices 10

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

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1306090998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E. VAN BUREN STREET",
            "address_2": "AVONDALE FAMILY HEALTH CENTER",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "623-344-6800",
            "fax_number": "623-344-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E VAN BUREN ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231506",
            "telephone_number": "623-344-6800",
            "fax_number": "623-344-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVDAN",
        "first_name": "GOSHTASB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-09",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "43163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.