Organization Active NPI

Monarch Medical Group PLLC

  • Preferred Provider Organization
  • Gilbert, AZ
National Provider Identifier
1356754881
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
40350 Issued in AZ
Legal business name
MONARCH MEDICAL GROUP PLLC
Practice address
2730 S Val Vista Dr
Suite 161
Gilbert, AZ 85295-1675
Phone
(480) 857-6316
Fax
(480) 857-6638
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Farah R Lokey, MD
Title
Medical Director
Phone
(480) 857-6316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 40350 AZ Primary

Addresses

Primary practice location

2730 S Val Vista Dr
Suite 161
Gilbert, AZ 85295-1675

Mailing address

PO Box 2749
Gilbert, AZ 85299-2749
Phone (480) 857-6316

Other identifiers 1

IdentifierTypeStateIssuer
364025MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2730 S Val Vista Dr
Ste 161
Gilbert, AZ 85295
Phone (480) 636-1225

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1356754881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2749",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852992749",
            "telephone_number": "480-857-6316",
            "fax_number": "480-857-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR",
            "address_2": "SUITE 161",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951675",
            "telephone_number": "480-857-6316",
            "fax_number": "480-857-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "LOKEY",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-857-6316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "40350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.