Active NPI
Desert Oazis LLC
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1568324291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DESERT OAZIS LLC
- Practice address
- 11648 E Shea Blvd Ste 115
Scottsdale, AZ 85259-5130 - Phone
- (760) 625-4448
- NPI assigned
- Dec 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naveen Anbalagan
- Title
- Member
- Phone
- (760) 625-4448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
11648 E Shea Blvd Ste 115
Scottsdale, AZ 85259-5130
Mailing address
11648 E Shea Blvd Ste 115
Scottsdale, AZ 85259-5130
Phone (760) 625-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2340852 | Desert Oazis LLC | Certificate of waiver | Mar 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
11648 E Shea Blvd
Ste 115
Scottsdale, AZ 85259
Phone (760) 625-4448
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Phoenix, AZ
- NPI 1770288276
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1871549519
-
- Primary Care Nurse Practitioner
- Phoenix, AZ
- NPI 1720445570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1568324291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11648 E SHEA BLVD STE 115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595130",
"telephone_number": "760-625-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11648 E SHEA BLVD STE 115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595130",
"telephone_number": "760-625-4448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT OAZIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "ANBALAGAN",
"authorized_official_first_name": "NAVEEN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "760-625-4448"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Desert Mountain Family Medicine P.C.
- Desert Mountain OB/GYN, P.C.
- Desert Mountain Sleep Solutions LLC
- Desert Oasis Home Health Services LLC
- Desert Oasis Surgical Center LLC
- Desert Orthopedics Center PLLC
- Desert Orthopedics Center PLLC
- Desert Orthopedics Trauma PLLC
- Desert Palm Surgical Group
- Desert Plastic Surgery PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.