Privia Medical Group Arizona, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIVIA MEDICAL GROUP ARIZONA, LLC

Practice address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171

Phone

(602) 633-3838

Fax

(602) 633-3838

NPI assigned

Mar 22, 2006

Last updated

May 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael McHorney

Title

Cfo

Phone

(602) 633-3838

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Privia Medical Group Arizona, LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1245876705

  1052328408

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700

  O20060309000742

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations (25 of 67)

Practitioners 343

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.

• Daniel Nathan Abelev, MD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1417573163
  Medicare reassignment Care Compare group NPD
• Islam Mustafa Abujubara, MD

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1265626774

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lisette Amezcua, FNP

  • Family Nurse Practitioner
  • Avondale, AZ
  • NPI 1962266858
  Medicare reassignment Care Compare group NPD
• Cathy Balzano, FNP

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1962905612

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lory Ellen Baraz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
  • NPI 1790780393

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• David H Beck, P.A.C.

  • Medical Physician Assistant
  • Glendale, AZ
  • NPI 1679646350

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Pallavi Bellamkonda, M.D.

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1871718486

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Rachael Bennett, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1134764590
  Medicare reassignment Care Compare group NPD
• David Joseph Chadwick I, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1164956041
  Medicare reassignment Care Compare group NPD
• Eric Clayton Christensen, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1134577810

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rachael Lynn Daley, MSN

  • Adult Health Nurse Practitioner
  • Avondale, AZ
  • NPI 1558577320
  Medicare reassignment Care Compare group NPD
• Kristina Deveau, NP-C

  • Nurse Practitioner
  • Goodyear, AZ
  • NPI 1528511482

  Family Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1760441141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3838",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3838",
            "fax_number": "602-633-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Watson Rd Ste C-104",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853268689",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 E Bell Rd Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322162",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925010",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925016",
            "country_code": "US",
            "telephone_number": "480-840-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925010",
            "country_code": "US",
            "telephone_number": "623-433-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14001 N 7th St Bldg F",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850224382",
            "country_code": "US",
            "telephone_number": "602-633-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19841 N 27th Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274007",
            "country_code": "US",
            "telephone_number": "602-633-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14415 W McDowell Rd Ste D102",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952521",
            "country_code": "US",
            "telephone_number": "623-512-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 W Eugie Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041258",
            "country_code": "US",
            "telephone_number": "602-633-3833",
            "fax_number": "602-633-3834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 W Eugie Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041258",
            "country_code": "US",
            "telephone_number": "602-633-3833",
            "fax_number": "602-633-3834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14672 N Del Webb Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853512137",
            "country_code": "US",
            "telephone_number": "602-633-3824",
            "fax_number": "602-633-3827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 N 43rd Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853015481",
            "country_code": "US",
            "telephone_number": "623-931-2221",
            "fax_number": "623-934-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7165 E University Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852076400",
            "country_code": "US",
            "telephone_number": "480-750-0085",
            "fax_number": "480-664-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13555 W McDowell Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952625",
            "country_code": "US",
            "telephone_number": "623-932-1157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 E Bell Rd Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322167",
            "country_code": "US",
            "telephone_number": "602-494-5040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 E Bell Rd Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322142",
            "country_code": "US",
            "telephone_number": "602-942-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13555 W McDowell Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952625",
            "country_code": "US",
            "telephone_number": "623-433-0155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925016",
            "country_code": "US",
            "telephone_number": "623-433-0155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 N 99th Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073022",
            "country_code": "US",
            "telephone_number": "480-398-7620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 N 43rd Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853015481",
            "country_code": "US",
            "telephone_number": "623-931-2221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7165 E University Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852076400",
            "country_code": "US",
            "telephone_number": "480-750-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925016",
            "country_code": "US",
            "telephone_number": "602-633-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925010",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6036 N 19th Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152143",
            "country_code": "US",
            "telephone_number": "602-973-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3540 E Baseline Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850429629",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 E Bell Rd Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322163",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16928 W Bell Rd Ste 702",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748948",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4540 E Baseline Rd",
            "address_2": "Bldg 6, Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064617",
            "country_code": "US",
            "telephone_number": "602-633-3840",
            "fax_number": "602-633-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIVIA MEDICAL GROUP ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "MCHORNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-633-3838"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326831",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, 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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.