Golden Trinity Healthcare LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GOLDEN TRINITY HEALTHCARE LLC

Practice address

40616 W Art PL
Maricopa, AZ 85138-5221

Phone

(480) 567-2526

Fax

(480) 750-2444

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Tandra GarvinNPI 1881140259

Title

Provider

Phone

(480) 567-2526

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Tandra A Garvin, NP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1881140259
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1669942645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20987 N JOHN WAYNE PKWY # B104-215",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392926",
            "telephone_number": "480-567-2526",
            "fax_number": "480-750-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40616 W ART PL",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385221",
            "telephone_number": "480-567-2526",
            "fax_number": "480-750-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRINITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "TANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "480-567-2526"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881140259",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.