Organization Active NPI

Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1750589404
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARIZONA OB GYN AFFILIATES PC
Practice address
1661 E Camelback Rd Ste 160
Phoenix, AZ 85016-3921
Phone
(623) 231-3686
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Mr. Andrew VillaNPI 1982681284
Title
Chief Executive Officer
Phone
(623) 231-3686

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1661 E Camelback Rd Ste 160
Phoenix, AZ 85016-3921

Mailing address

1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913
Phone (623) 231-3686

Other identifiers 1

IdentifierTypeStateIssuer
236246MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20071106000295 AZ Part B Supplier - Clinic/Group Practice 7911094040 Receives reassigned benefits from 140 practitioners
Practice locations: Phoenix, AZ; Prescott, AZ; Queen Creek, AZ; Scottsdale, AZ; Casa Grande, AZ; Chandler, AZ; Gilbert, AZ; Goodyear, AZ
O20241025000981 NC Part B Supplier - Clinic/Group Practice 7911094040 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC; Waxhaw, NC
O20250507002540 TX Part B Supplier - Clinic/Group Practice 7911094040 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake, TX

National Provider Directory

National Provider Directory

Locations

1187 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-6411

1187 E Cottonwood Ln
Ste B
Casa Grande, AZ 85122
Phone (520) 836-1000

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1950 W Frye Rd
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

1501 N Gilbert Rd
Ste 180
Gilbert, AZ 85234
Phone (480) 782-0993

3815 S Val Vista Dr
Ste 102
Gilbert, AZ 85297
Phone (480) 221-9183

700 N Estrella Pkwy
Goodyear, AZ 85338

1170 N Estrella Pkwy
Ste A107
Goodyear, AZ 85338
Phone (623) 263-0105

35 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 846-7558

4530 E Ray Rd
Ste 124
Phoenix, AZ 85044

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

9930 W Indian School Rd
#140
Phoenix, AZ 85037

9250 W Thomas Rd
Ste 360
Phoenix, AZ 85037
Phone (623) 218-0831

7600 E Florentine Rd
Prescott Valley, AZ 86314
Phone (520) 419-1624

22711 S Ellsworth Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 782-0993

22711 S Ellsworth Rd
Queen Creek, AZ 85142
Phone (480) 325-7639

21240 E Ocotillo Rd
Ste 103
Queen Creek, AZ 85142

10261 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 443-4437

21807 N Scottsdale Rd
Scottsdale, AZ 85255
Phone (480) 860-8488

8404 E Shea Blvd
Ste B100
Scottsdale, AZ 85260
Phone (480) 440-4437

10261 N 92nd St
#101
Scottsdale, AZ 85258
Phone (480) 443-4437

1840 E Baseline Rd
Tempe, AZ 85283
Phone (480) 491-9911

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

Practitioners & affiliated clinicians

Practitioners 238

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

View all 238

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1750589404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163913",
            "telephone_number": "623-231-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163921",
            "telephone_number": "623-231-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA OB GYN AFFILIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "623-231-3686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.