Active NPI
John C. Lincoln, LLC
Doing business as Sun Valley Family Medicine
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1699852319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOHN C. LINCOLN, LLC
- Doing business as
- Sun Valley Family Medicine
- Practice address
- 5040 N 15TH Ave
Suite 202
Phoenix, AZ 85015-3328 - Phone
- (602) 248-0123
- Fax
- (602) 248-8506
- NPI assigned
- Nov 1, 2006
- Last updated
- May 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nathan A. Anspach
- Title
- Senior Vice President
- Phone
- (623) 780-3751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
5040 N 15TH Ave
Suite 202
Phoenix, AZ 85015-3328
Mailing address
PO Box 9907
Phoenix, AZ 85068-0907
Phone (602) 248-0123
Other names 1
- Sun Valley Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000717 | AZ | Part B Supplier - Clinic/Group Practice | 1557274057 |
Receives reassigned benefits from 518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
20470 N Lake Pleasant Rd
Ste 110
Peoria, AZ 85382
Phone (602) 992-1486
1668 W Glendale Ave
Ste 128
Phoenix, AZ 85021
Phone (602) 544-8541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306800000000",
"number": "1699852319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9907",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850680907",
"telephone_number": "602-248-0123",
"fax_number": "602-248-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 N 15TH AVE",
"address_2": "SUITE 202",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850153328",
"telephone_number": "602-248-0123",
"fax_number": "602-248-8506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C. LINCOLN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2011-05-31",
"status": "A",
"authorized_official_last_name": "ANSPACH",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "623-780-3751",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sun Valley Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
- John C. Lincoln North Mountain Professionals, LLC
- John C. Lincoln North Mountain Professionals, LLC (Comprehensive Care Center - North Mountain)
- John C. Lincoln, LLC (John C Lincoln Cactus Family Medicine)
- John C. Lincoln, LLC (John C. Lincoln Urgent Care at Tatum)
- John C. Lincoln, LLC (dba John C. Lincoln Avista Senior Living North Mountain)
- John C. Lincoln, LLC (Deer Valley Family Practice at the Beatitudes)
- John E. Culp, III DMD, PC (Jungle Roots Children's Dentistry)
- John F Schaible MD PC
- John M Bracken PC
- John Marshall, M.D., P.L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.