Sanjivan PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33419 Issued in AZ

Legal business name

SANJIVAN PLLC

Practice address

501 W Van Buren St Ste T
Avondale, AZ 85323

Phone

(623) 932-9905

Fax

(623) 932-6901

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Tafoya

Title

Office Manager

Phone

(623) 932-9905

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AVONDALE MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rohit Malhotra, M.D.

  • Internal Medicine Physician
  • Avondale, AZ
  • NPI 1659372225
  Medicare reassignment NPD
• Brian Thomas Jensen, PA-C

  • Internal Medicine Physician
  • Avondale, AZ
  • NPI 1689927964

  Family Medicine

  NPD (past)
• Janet Moran

  • Family Nurse Practitioner
  • Avondale, AZ
  • NPI 1356080758
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1659415206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W VAN BUREN ST STE T",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231307",
            "telephone_number": "623-932-9905",
            "fax_number": "623-386-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W VAN BUREN ST STE T",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "623-932-9905",
            "fax_number": "623-932-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15833 Clubhouse Dr",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853956494",
            "country_code": "US",
            "telephone_number": "623-932-9905",
            "fax_number": "623-932-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANJIVAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "TAFOYA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-932-9905"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894099",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVONDALE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latecia Sanders
• Nicole Sandez
• James Sandoval, LMSW
• Samantha R Sandoval
• Sanford M. Chesler, DPM,PC
• Tiffany Lynn Santamaria, MS, BCBA, LBA
• Dahlia Santana
• Liliana Santoyo
• Faith Sapone
• Christine Saraceni, D.O

• Family Medicine Physician in Avondale, AZ
• Providers in Avondale, 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 Feb 26, 2021; 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.