Organization Active NPI

Nava Family Medicine PLLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1457467151
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24355 Issued in AZ
Legal business name
NAVA FAMILY MEDICINE PLLC
Practice address
4530 N 32ND St
Ste 104
Phoenix, AZ 85018-3357
Phone
(602) 279-6282
Fax
(602) 274-2157
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Andrew Nava, M.D.
Title
Owner/Physician
Phone
(602) 279-6282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 24355 AZ Primary

Addresses

Primary practice location

4530 N 32ND St
Ste 104
Phoenix, AZ 85018-3357

Mailing address

4530 N 32ND St
Ste 104
Phoenix, AZ 85018-3357
Phone (602) 279-6282

Other identifiers 4

IdentifierTypeStateIssuer
AZ0752990OtherAZBCBS PIN
2Z0735OtherAZHEALTHNET PIN
374710MedicaidAZ
P00230446OtherAZRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1457467151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 N 32ND ST",
            "address_2": "STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183357",
            "telephone_number": "602-279-6282",
            "fax_number": "602-274-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 N 32ND ST",
            "address_2": "STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183357",
            "telephone_number": "602-279-6282",
            "fax_number": "602-274-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVA FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "NAVA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "602-279-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "24355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "AZ0752990",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PIN",
            "identifier": "2Z0735",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374710",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230446",
            "state": "AZ"
        }
    ],
    "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 Feb 26, 2013; 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.