Abcore Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7356 Issued in AZ

Legal business name

ABCORE FAMILY PRACTICE LLC

Practice address

4141 N Herrera Way
Phoenix, AZ 85012-1814

Phone

(623) 419-2799

NPI assigned

Feb 16, 2015

Last updated

Dec 9, 2025By 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

Mr. Juan J Lopez, NPNPI 1326477134

Title

Manager

Phone

(623) 419-2799

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard W Moos, MD PC

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
  • NPI 1033100821
  Medicare reassignment NPD
• Juan Jose Lopez, RN, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1326477134
  Authorized official Same address or phone

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1417348244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 N 21ST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151902",
            "telephone_number": "623-419-2799",
            "fax_number": "602-358-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N HERRERA WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121814",
            "telephone_number": "623-419-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCORE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-419-2799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013638",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326477134",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abc Ambulance LLC (ABC Ambulance)
• Abc Breastfeeding, LLC
• Abc Home Medical Supply, Inc
• Abc Medical Billing Consultants Inc
• Abc Optical PLLC
• Abcore Medical Group
• Monica Abd El Nour, MD
• Ehab Farouk Abdalah, M.D
• Amal Abdalla
• Mannal J Abdalla, FNP, RN, CSA

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.