Active NPI
Joseph A Mabilia, D.O.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1417150285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1684
- Practice address
- 3440 W. Cactus Road
Phoenix, AZ 85029-2238 - Phone
- (602) 249-3380
- Fax
- (602) 973-0978
- NPI assigned
- Jun 7, 2007
- Last updated
- Oct 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1684 | AZ | Primary |
Addresses
Primary practice location
3440 W. Cactus Road
Phoenix, AZ 85029-2238
Mailing address
PO Box 41908
Phoenix, AZ 85080-1908
Phone (602) 249-3380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1684 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mehareen LLP | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1417150285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41908",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850801908",
"telephone_number": "602-249-3380",
"fax_number": "602-973-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 W. CACTUS ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850292238",
"telephone_number": "602-249-3380",
"fax_number": "602-973-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABILIA",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "1684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.