P&G Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

P&G FAMILY PRACTICE PLLC

Practice address

1653 E McMurray Blvd Ste 144a
Casa Grande, AZ 85122-5934

Phone

(480) 883-3011

Fax

(480) 802-3874

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Chetan Patel, NP-C

Title

Owner

Phone

(520) 723-7726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1477222669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W CENTRAL AVE",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851284405",
            "telephone_number": "520-723-7726",
            "fax_number": "520-723-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 E MCMURRAY BLVD STE 144A",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225934",
            "telephone_number": "480-883-3011",
            "fax_number": "480-802-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&G FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-723-7726",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abel Ortega Diaz, PA-C
• Orthopedic Specialists of North America, PLLC (OrthoArizona)
• Alex Osei
• Anneliese Ursula Oti
• Our World ABA
• Amy Lynn Pallesen, APRN
• Kyle Johnson Palmateer, PHARM D
• Andrea Lacoss Palmer, N.D.
• Palms Care LLC
• Kelsey N.S. Pangelinan, DMSC, PA-C

• Family Medicine Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.