Organization Active NPI

Umpc PLLC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1376388199
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UMPC PLLC
Practice address
10238 E Hampton Ave Ste 411
Mesa, AZ 85209-3320
Phone
(480) 943-1220
Fax
(480) 943-1229
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Jonathan Jarvina, MD
Title
Authorized Official
Phone
(480) 448-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10238 E Hampton Ave Ste 411
Mesa, AZ 85209-3320

Mailing address

2163 E Baseline Rd Ste 105
Tempe, AZ 85283-1541
Phone (480) 448-9990

National Provider Directory

National Provider Directory

Locations

10238 E Hampton Ave
Ste 411
Mesa, AZ 85209
Phone (480) 882-4750

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1376388199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 E BASELINE RD STE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831541",
            "telephone_number": "480-448-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 411",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093320",
            "telephone_number": "480-943-1220",
            "fax_number": "480-943-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "JARVINA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-448-9990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.