Main Street Family Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAIN STREET FAMILY PRACTICE, P.C.

Practice address

660 South Main Street
Florence, AZ 85232

Phone

(949) 713-3998

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Beth M Lizarraga

Title

Owner

Phone

(520) 868-1400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dario Lizarraga, M.D.

  • Family Medicine Physician
  • Florence, AZ
  • NPI 1649349440
  Medicare reassignment NPD
• Ana Lucia McNabb, FNP-C

  • Family Nurse Practitioner
  • Paradise Valley, AZ
  • NPI 1679945174
  Medicare reassignment NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1356410146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2818",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323052",
            "telephone_number": "520-868-1400",
            "fax_number": "520-868-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SOUTH MAIN STREET",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85232",
            "telephone_number": "949-713-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "LIZARRAGA",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-868-1400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Leonhardt
• Dario Lizarraga, M.D.
• Thomas Rudy Longfellow, D.O.
• Erik Lorenzen, RN
• McKinley Maes, EDS
• Jennifer Mandigo, PSY.D.
• Miguel Martinez, RBT
• Kevon McCarty, DO
• Kathleen Lynne McCoy
• Craig William McDade, R.PH. MBA

• Family Medicine Physician in Florence, AZ
• Providers in Florence, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.