Organization Active NPI

Arizona Primary Care Services

  • Primary Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1548779986
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
51986 Issued in AZ
Legal business name
ARIZONA PRIMARY CARE SERVICES
Practice address
4111 E Valley Auto Dr
Mesa, AZ 85206-4605
Phone
(480) 982-0922
Fax
(480) 539-2888
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Chelsea Roberts, MDNPI 1336583186
Title
Physician
Phone
(480) 982-0922

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 51986 AZ
Primary Care Clinic/Center 261QP2300X 51986 AZ Primary

Addresses

Primary practice location

4111 E Valley Auto Dr
Mesa, AZ 85206-4605

Mailing address

3117 E Hobart St
Gilbert, AZ 85296-9175
Phone (480) 982-0922

Other names 1

  • Roberts Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171117000366 AZ Part B Supplier - Clinic/Group Practice 8022374446 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

4111 E Valley Auto Dr
Ste 108
Mesa, AZ 85206
Phone (480) 982-0922

4111 E Valley Auto Dr
Ste 102
Mesa, AZ 85206
Phone (480) 644-0644

4111 E Valley Auto Dr
Mesa, AZ 85206
Phone (480) 269-0040

4111 E Valley Auto Dr
Ste 209
Mesa, AZ 85206
Phone (480) 630-9926

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1548779986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 E HOBART ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969175",
            "telephone_number": "480-982-0922",
            "fax_number": "480-539-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064605",
            "telephone_number": "480-982-0922",
            "fax_number": "480-539-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PRIMARY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-982-0922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "51986",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "51986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberts Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2022; 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.