NPIMap

Organization Active NPI

Enticare PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Tan Valley, AZ
National Provider Identifier
1598520074
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
ENTICARE PC
Practice address
36457 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7343
Phone
(480) 214-9000
Fax
(480) 214-9999
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. Homan MostafaviNPI 1770679797
Title
Member Manager
Phone
(480) 214-9000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

36457 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7343

Mailing address

2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

National Provider Directory

National Provider Directory
Tax ID family
Enticare PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

  • Enticare PC
    • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
    • Casa Grande, AZ
    • NPI 1184489668
    NPD tax ID
  • Enticare PC
    • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
    • Gilbert, AZ
    • NPI 1255196747
    NPD tax ID
  • Enticare PC
    • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
    • Scottsdale, AZ
    • NPI 1801651393
    NPD tax ID
  • Enticare PC
    • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
    • Glendale, AZ
    • NPI 1821853300
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 11

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": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1598520074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 W CHANDLER BLVD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246239",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36457 N GANTZEL RD STE 101",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407343",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTICARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MOSTAFAVI",
        "authorized_official_first_name": "HOMAN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-214-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.