Organization Active NPI

Calavar Family Physicians LTD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1649360314
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1372 Issued in AZ
Legal business name
CALAVAR FAMILY PHYSICIANS LTD
Practice address
3525 W Calavar Rd
Phoenix, AZ 85053
Phone
(602) 938-8150
Fax
(602) 938-9277
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Allen Blair Corbett Jr., DO
Title
President Owner
Phone
(602) 938-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1372 AZ Primary

Addresses

Primary practice location

3525 W Calavar Rd
Phoenix, AZ 85053

Mailing address

3525 W Calavar Rd
Phoenix, AZ 85053
Phone (602) 938-8150

Other identifiers 1

IdentifierTypeStateIssuer
241555001MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1649360314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W CALAVAR RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85053",
            "telephone_number": "602-938-8150",
            "fax_number": "602-938-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W CALAVAR RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85053",
            "telephone_number": "602-938-8150",
            "fax_number": "602-938-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAVAR FAMILY PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "602-938-8150",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241555001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2011; 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.