NPIMap

Organization Active NPI

Val Vista Lakes Family Medicine, PC

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1487605481
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VAL VISTA LAKES FAMILY MEDICINE, PC
Practice address
3331 E Baseline Rd
Gilbert, AZ 85234-2633
Phone
(480) 545-1100
Fax
(480) 545-7181
NPI assigned
May 14, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Kent Hatfield, DONPI 1811938152
Title
President/Ceo
Phone
(480) 545-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3331 E Baseline Rd
Gilbert, AZ 85234-2633

Mailing address

3331 E Baseline Rd
Gilbert, AZ 85234-2633
Phone (480) 545-1100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1487605481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342633",
            "telephone_number": "480-545-1100",
            "fax_number": "480-545-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342633",
            "telephone_number": "480-545-1100",
            "fax_number": "480-545-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL VISTA LAKES FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-14",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "480-545-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.