NPIMap

Organization Active NPI

Mesa Health and Wellness Center

Doing business as Onsite Care

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1710381306
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4199 Issued in AZ
Legal business name
MESA HEALTH AND WELLNESS CENTER
Doing business as
Onsite Care
Practice address
1121 S Gilbert Rd
Suite 101
Mesa, AZ 85204-5235
Phone
(480) 644-9355
Fax
(480) 644-2288
NPI assigned
Oct 10, 2014
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Mr. Darce Latsis
Title
Controller
Phone
(801) 441-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4199 AZ Primary

Addresses

Primary practice location

1121 S Gilbert Rd
Suite 101
Mesa, AZ 85204-5235

Mailing address

560 S 300 E Ste 275
Salt Lake City, UT 84111-3586
Phone (801) 441-1002

Other names 1

  • Onsite Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blendtec Health Center25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

215 S State St
Ste 110
Slc, UT 84111
Phone (801) 441-1002

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1710381306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S 300 E STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113586",
            "telephone_number": "801-441-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S GILBERT RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045235",
            "telephone_number": "480-644-9355",
            "fax_number": "480-644-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LATSIS",
        "authorized_official_first_name": "DARCE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "801-441-1002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onsite Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.