Organization Active NPI

Vjuvinate LLC

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
National Provider Identifier
1477412831
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VJUVINATE LLC
Practice address
801 S Power Rd Ste 108
Mesa, AZ 85206-5222
Phone
(623) 469-5889
Fax
(602) 626-8681
NPI assigned
Jan 20, 2026
Last updated
Jul 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Jodie Schenk
Title
Operations Manager
Phone
(623) 469-5889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

801 S Power Rd Ste 108
Mesa, AZ 85206-5222

Mailing address

PO Box 1377
Higley, AZ 85236-1377
Phone (623) 469-5889

Other practice location 1

312 N Alma School Rd Ste 15
Chandler, AZ 85224-4354
Phone (623) 469-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260515000436 AZ Part B Supplier - Clinic/Group Practice 3779052121 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ; Chandler, AZ

National Provider Directory

National Provider Directory

Locations

801 S Power Rd
Ste 108
Mesa, AZ 85206
Phone (480) 593-5400

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1477412831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852361377",
            "telephone_number": "623-469-5889",
            "fax_number": "602-626-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S POWER RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065222",
            "telephone_number": "623-469-5889",
            "fax_number": "602-626-8681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 N Alma School Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244354",
            "country_code": "US",
            "telephone_number": "623-469-5889",
            "fax_number": "602-626-8681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VJUVINATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "SCHENK",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "623-469-5889"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.