Gaia Virtual Medicine. LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GAIA VIRTUAL MEDICINE. LLC

Practice address

4494 W Peoria Ave #115a
Suite 8
Glendale, AZ 85302

Phone

(602) 626-4473

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Keqiang Shen, FNPNPI 1154713048

Title

Ceo

Phone

(480) 876-4013

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keqiang Shen, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1154713048
  Medicare reassignment Care Compare group NPD Authorized official
• Lillian Huili Foster, DNP,NP-C,PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1093380891
  Care Compare group NPD
• Daniel Douglas Kiddy, DPM

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1144214529
  Care Compare group NPD
• Ali Rajaei-Tehrani, DO

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1447337647
  Care Compare group NPD
• Mengyao Zhao

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1932935566
  Care Compare group NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1730800475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28913 N 23RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850715",
            "telephone_number": "602-626-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE #115A",
            "address_2": "SUITE 8",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85302",
            "telephone_number": "602-626-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIA VIRTUAL MEDICINE. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "KEQIANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-876-4013",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G2 Physicians LLC
• Steven M Gabaldon, P.A.-C
• Jordan Gabbard
• Gadstar, P.C. (Gadstar Family Medicine)
• Martin Charles Gage, D.C.
• Gary C Gailius, D.O.
• Jahi Gains, OTR/L
• Khushboo Gajjar, OT
• Kayijamahe Gakei
• Galan's Mobile Ultrasound LLC

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.