NPIMap

Organization Active NPI

Feliz Family Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1538533799
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FELIZ FAMILY CARE, PLLC
Practice address
1345 E Main St Ste 100
Mesa, AZ 85203-8950
Phone
(480) 264-3711
Fax
(480) 272-7580
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Roman Carrasco
Title
Ceo
Phone
(480) 404-7158

Specialties & licenses 1

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

Addresses

Primary practice location

1345 E Main St Ste 100
Mesa, AZ 85203-8950

Mailing address

1345 E Main St Ste 205
Mesa, AZ 85203-8961
Phone (480) 264-3711

Other names 1

  • Feliz Care Centers PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160224002680 AZ Part B Supplier - Clinic/Group Practice 3274838586 Receives reassigned benefits from 16 practitioners
Practice locations: Chandler, AZ; Phoenix, AZ; Glendale, AZ; Mesa, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2106458Feliz Care Centers1345 E Main St Suite 100, Mesa, AZ 85203Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Locations

1076 W Chandler Blvd
#108109
Chandler, AZ 85224

5104 N 67th Ave
Ste 100
Glendale, AZ 85301

1157 S Crismon Rd
Unit 102
Mesa, AZ 85208

1345 E Main St
Ste 205
Mesa, AZ 85203

3415 W Glendale Ave
Ste 32A
Phoenix, AZ 85051
Phone (602) 246-7462

6036 N 19th Ave
Ste 201
Phoenix, AZ 85015
Phone (602) 246-7462

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1538533799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST STE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038961",
            "telephone_number": "480-264-3711",
            "fax_number": "480-272-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038950",
            "telephone_number": "480-264-3711",
            "fax_number": "480-272-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIZ FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-404-7158"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feliz Care Centers PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.