NPIMap

Organization Active NPI

Desert Community Medical Associates

  • Family Medicine Physician
  • Fountain Hills, AZ
National Provider Identifier
1740324409
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DESERT COMMUNITY MEDICAL ASSOCIATES
Practice address
13215 N. Verde River Dr
Suite 6
Fountain Hills, AZ 85268
Phone
(480) 816-3130
Fax
(480) 816-3134
NPI assigned
Feb 16, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Himanshu H Shukla, MDNPI 1285627703
Title
MD - Owner
Phone
(480) 816-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4278 AZ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 34435 AZ

Addresses

Primary practice location

13215 N. Verde River Dr
Suite 6
Fountain Hills, AZ 85268

Mailing address

PO Box 41600
Mesa, AZ 85274
Phone (480) 816-3130

National Provider Directory

National Provider Directory

Locations

13215 N Verde River Dr
Ste 6
Fountain Hls, AZ 85268
Phone (480) 816-3130

10238 E Hampton Ave
Ste 501
Mesa, AZ 85209
Phone 4808891573122

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1740324409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41600",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85274",
            "telephone_number": "480-816-3130",
            "fax_number": "480-816-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 N. VERDE RIVER DR",
            "address_2": "SUITE 6",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "85268",
            "telephone_number": "480-816-3130",
            "fax_number": "480-816-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT COMMUNITY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD - OWNER",
        "authorized_official_telephone_number": "480-816-3130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4278",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.