Desert Mountain Family Medicine P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

21128 Issued in AZ

Legal business name

DESERT MOUNTAIN FAMILY MEDICINE P.C.

Practice address

8428 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6663

Phone

(480) 451-9191

NPI assigned

Oct 6, 2012

Last updated

Oct 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicki L Lugo

Title

Practice Manager

Phone

(480) 451-9191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349481600000",
    "number": "1366794919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11866 E MISSION LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595943",
            "telephone_number": "480-695-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 E SHEA BLVD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606663",
            "telephone_number": "480-451-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN FAMILY MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-06",
        "last_updated": "2012-10-06",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-451-9191"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "21128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Desert Maternal Fetal Medicine
• Desert Medical Consultants
• Desert Mood Counseling PLLC
• Desert Mountain OB/GYN, P.C.
• Desert Mountain Sleep Solutions LLC
• Desert Oasis Home Health Services LLC
• Desert Oasis Surgical Center LLC
• Desert Oazis LLC

• Primary Care Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2012; 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.