NPIMap

Organization Active NPI

Gubara Trans LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1649043803
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GUBARA TRANS LLC
Practice address
10000 N 31St Ave Ste D321
Phoenix, AZ 85051-1701
Phone
(623) 383-0910
NPI assigned
Oct 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Khalid Gubara
Title
Owner
Phone
(623) 383-0910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10000 N 31St Ave Ste D321
Phoenix, AZ 85051-1701

Mailing address

10000 N 31St Ave Ste D321
Phoenix, AZ 85051-1701
Phone (623) 383-0910

Other names 1

  • Annemarie Trujillo Other name

National Provider Directory

National Provider Directory
Tax ID family
Annemarie Trujillo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1649043803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE D321",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511701",
            "telephone_number": "623-383-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE D321",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511701",
            "telephone_number": "623-383-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUBARA TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "GUBARA",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-383-0910"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annemarie Trujillo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.