NPIMap

Individual provider Active NPI

Paul Mazzarella, MD

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1356379689
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18157 Issued in AZ
Practice address
7802 N 43Rd Ave
5
Glendale, AZ 85301-8111
Phone
(623) 915-1000
Fax
(623) 934-0224
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18157 AZ Primary

Addresses

Primary practice location

7802 N 43Rd Ave
5
Glendale, AZ 85301-8111

Mailing address

7802 N 43Rd Ave
5
Glendale, AZ 85301-8111
Phone (623) 915-1000

Other identifiers 1

IdentifierTypeStateIssuer
410887MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Urgent Care LLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients

Organizations & group practices 11

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1356379689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 N 43RD AVE",
            "address_2": "5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853018111",
            "telephone_number": "623-915-1000",
            "fax_number": "623-934-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 N 43RD AVE",
            "address_2": "5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853018111",
            "telephone_number": "623-915-1000",
            "fax_number": "623-934-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLA",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "18157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410887",
            "state": "AZ"
        }
    ],
    "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, 2013; 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.