Organization Active NPI

John C. Lincoln, LLC

Doing business as Sun Valley Family Medicine

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1699852319
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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

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.

Verify at the official NPI Registry.