Sabra Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SABRA PRIMARY CARE PLLC

Practice address

1830 S Alma School Rd Ste 130
Mesa, AZ 85210-3088

Phone

(313) 312-4332

NPI assigned

Oct 13, 2025

Last updated

Oct 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley Gonik, MDNPI 1952862765

Title

Owner

Phone

(313) 312-4332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Gonik, MD

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1952862765
  Medicare reassignment Care Compare group NPD Authorized official
• Shu-Ying Hsieh, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1912149147
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1659247179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 130",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 130",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088",
            "telephone_number": "313-312-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRA PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "GONIK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-312-4332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sabetta, LPC
• Sabh of Arizona Dba Contact
• Mandeep Kumar Sablok, MD
• Christine M Sabo
• Serena Sabovich
• Timothy Ryan Bautista Sacamay
• Mary Ann Sacco, RN
• Sumeet Sachdev, M.D.
• Kanwardeep Singh Sachdeva, MD
• Yessica Ramos Sachdeva, M.D.

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.