NPIMap

Organization Active NPI

Pinal County Arizona

  • Public Health or Welfare Agency
  • San Tan Valley, AZ
National Provider Identifier
1730512708
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
OTC5348 Issued in AZ
Legal business name
PINAL COUNTY ARIZONA
Practice address
36235 N Gantzel Rd
San Tan Valley, AZ 85140-7304
Phone
(520) 866-7319
Fax
(520) 866-7066
NPI assigned
Aug 14, 2013
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PINAL COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Merissa Mendoza
Title
Director
Phone
(520) 866-7326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X OTC5348 AZ Primary

Addresses

Primary practice location

36235 N Gantzel Rd
San Tan Valley, AZ 85140-7304

Mailing address

PO Box 2945
Florence, AZ 85132-3055
Phone (520) 866-7320

Other identifiers 1

IdentifierTypeStateIssuer
155847MedicaidAZ

Other names 2

  • Public Health Department Other name
  • Public Health Department San Tan Valley Other name

National Provider Directory

National Provider Directory
Tax ID family
Pinal County Arizona14 organizations share this tax ID, including this one
Part of
Pinal County Arizona

Other organizations with this tax ID 13

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

View all 13

Locations

36235 N Gantzel Rd
San Tan Valley, AZ 85140

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1730512708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2945",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323055",
            "telephone_number": "520-866-7320",
            "fax_number": "520-866-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36235 N GANTZEL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407304",
            "telephone_number": "520-866-7319",
            "fax_number": "520-866-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINAL COUNTY ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINAL COUNTY",
        "enumeration_date": "2013-08-14",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MERISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-866-7326"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "OTC5348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155847",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Public Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Public Health Department San Tan Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.