NPIMap

Individual provider Active NPI

Jesus Ryan Arvizo Jr., FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1407565906
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241088 Issued in AZ
Practice address
239 N Litchfield Rd
Goodyear, AZ 85338-1249
Phone
(480) 549-8865
Fax
(520) 391-2936
NPI assigned
Nov 23, 2022
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 241088 AZ
Family Nurse Practitioner 363LF0000X 241088 AZ Primary
Gerontology Nurse Practitioner 363LG0600X 241088 AZ
Wound Care Registered Nurse 163WW0000X 241088 AZ

Addresses

Primary practice location

239 N Litchfield Rd
Goodyear, AZ 85338-1249

Mailing address

239 N Litchfield Rd
Goodyear, AZ 85338-1249
Phone (480) 389-7079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906000696 AZ Practitioner - Nurse Practitioner 9537522792 Reassigns benefits to 2 organizations
Practice locations: Goodyear, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 N Litchfield Rd
Goodyear, AZ 85338-1249
Phone (480) 549-8865

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
241088AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Multi-Specialty Current Accepting new patients
District Medical Group, Inc Multi-Specialty CurrentSince Aug 9, 2023 Accepting new patients
Maricopa County Special Health Care District CurrentSince Aug 17, 2023 Accepting new patients
District Medical Group, Inc Multi-Specialty Current Accepting new patients
Revive Medical Care Wound Care CurrentSince Jul 31, 2023 Accepting new patients
Maricopa County Special Health Care District CurrentSince Aug 17, 2023 Accepting new patients
District Medical Group, Inc Multi-Specialty Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

239 N Litchfield Rd
Goodyear, AZ 85338
Phone (480) 549-8865

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

Interoperability endpoints

  • Direct secure messaging: jarvizo259140@direct.valleywisehealth.org
  • Direct secure messaging: jesus.arvizo@965126828130308.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1407565906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381249",
            "telephone_number": "480-389-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381249",
            "telephone_number": "480-549-8865",
            "fax_number": "520-391-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVIZO",
        "first_name": "JESUS",
        "middle_name": "RYAN",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "241088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "241088",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "241088",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "241088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.