Active NPI
Mazoury Family Medicine LLC
- Family Nurse Practitioner
- Chandler, AZ
National Provider Identifier
1477107787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MAZOURY FAMILY MEDICINE LLC
- Practice address
- 4913 S Alma School Rd Ste 4
Chandler, AZ 85248-5629 - Phone
- (480) 371-4559
- NPI assigned
- Jul 25, 2019
- Last updated
- Jul 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alireza Mazoury, NP
- Title
- Owner/Provider
- Phone
- (480) 371-4559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
4913 S Alma School Rd Ste 4
Chandler, AZ 85248-5629
Mailing address
4087 E Washington Ave
Gilbert, AZ 85234-7711
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Chandler, AZ
- NPI 1851637631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564012800000",
"number": "1477107787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4087 E WASHINGTON AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852347711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 S ALMA SCHOOL RD STE 4",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852485629",
"telephone_number": "480-371-4559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAZOURY FAMILY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A",
"authorized_official_last_name": "MAZOURY",
"authorized_official_first_name": "ALIREZA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "480-371-4559",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.