Active NPI
Northern Virginia Family Care LLC
- Multi-Specialty Clinic/Center
- Dale City, VA
National Provider Identifier
1720760259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NORTHERN VIRGINIA FAMILY CARE LLC
- Practice address
- 4101 Cheshire Station Plaza
Suite 500
Dale City, VA 22193 - Phone
- (571) 374-1234
- NPI assigned
- Aug 3, 2023
- 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
- John Gilliam
- Title
- Owner
- Phone
- (571) 374-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
4101 Cheshire Station Plaza
Suite 500
Dale City, VA 22193
Mailing address
4101 Cheshire Station Plaza
Suite 500
Dale City, VA 22193
Phone (571) 374-1234
National Provider Directory
National Provider DirectoryLocations
4101 Cheshire Station Plz
Ste 500
Woodbridge, VA 22193
Phone (571) 374-1234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Woodbridge, VA
- NPI 1972599272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1720760259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 CHESHIRE STATION PLAZA",
"address_2": "SUITE 500",
"city": "DALE CITY",
"state": "VA",
"postal_code": "22193",
"telephone_number": "571-374-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 CHESHIRE STATION PLAZA",
"address_2": "SUITE 500",
"city": "DALE CITY",
"state": "VA",
"postal_code": "22193",
"telephone_number": "571-374-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN VIRGINIA FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "GILLIAM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-374-1234"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dale City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.