Alia Family Practice Inc
Organization Active NPI Family Medicine Physician · Tempe, AZ
NPI 1407987209 · NPPES record last updated Dec 15, 2010
Key facts
- NPI
- 1407987209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3264 (AZ)
- Legal business name
- ALIA FAMILY PRACTICE INC
- Practice address
- 6655 S Rural Rd
Suite 3
Tempe, AZ 85283-3793 - Phone
- (480) 831-0600
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Joseph Alia, D.O.
- Title
- Administrator
- Phone
- (480) 831-0600
Practitioners 6
-
Joseph Alia, D.O.
-
Penny Burkert, P.A.-C.
-
Natalie Ann Tejada, FNP-C
-
Sara Leah Allen, PAC
-
Zsuzsanna Preville, PAC
-
Lin Allen Ozan, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0705938 | Alia Family Practice, Inc | Provider-performed microscopy | Oct 3, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060328000025 | AZ | Part B Supplier - Clinic/Group Practice | 0648288076 |
Receives reassigned benefits from 5 practitioners Practice locations: Tempe, AZ |
National Provider Directory
Locations
6655 S Rural Rd
Ste 3
Tempe, AZ 85283
Phone (480) 831-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 3264 | AZ | Yes |
Addresses
Primary practice location
6655 S Rural Rd
Suite 3
Tempe, AZ 85283-3793
Mailing address
6655 S Rural Rd
Suite 3
Tempe, AZ 85283-3793
Phone (480) 831-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403171 | Medicaid | AZ |
Other providers in Tempe, AZ
- Sarah Alflen
- Alhabach, P.C.
- Fatima Aziz Alhadi
- Amjad Ali
- Anam Ali
- Joseph Alia
- Align Chiropractic and Wellness, PLC
- Alikhan, LLC
- Alium Health
- Abbas Aljanabi
All providers in Tempe, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.