NPIMap

Organization Active NPI

Iatriko, LLC

Doing business as Foothills Family Medicine

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1356467658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IATRIKO, LLC
Doing business as
Foothills Family Medicine
Practice address
4545 E Chandler Blvd
Suite 304
Phoenix, AZ 85048-7643
Phone
(480) 961-2366
Fax
(480) 961-2367
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Constantine Safis
Title
President
Phone
(480) 961-2366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4545 E Chandler Blvd
Suite 304
Phoenix, AZ 85048-7643

Mailing address

4545 E Chandler Blvd
Suite 304
Phoenix, AZ 85048-7643
Phone (480) 961-2366

Other names 1

  • Foothills Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

4545 E Chandler Blvd
Ste 304
Phoenix, AZ 85048
Phone (480) 961-2366

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356467658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD",
            "address_2": "SUITE 304",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487643",
            "telephone_number": "480-961-2366",
            "fax_number": "480-961-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD",
            "address_2": "SUITE 304",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487643",
            "telephone_number": "480-961-2366",
            "fax_number": "480-961-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IATRIKO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAFIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-961-2366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.