Organization Active NPI

Future Family Medicine PLLC

  • Primary Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1770752115
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FUTURE FAMILY MEDICINE PLLC
Practice address
1140 S San Jose
Suite B
Mesa, AZ 85202-3879
Phone
(480) 833-1859
Fax
(480) 833-3298
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Warren Tripp, M.D.
Title
Medical Director
Phone
(480) 833-1859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AZ Primary

Addresses

Primary practice location

1140 S San Jose
Suite B
Mesa, AZ 85202-3879

Mailing address

4050 W Ray Rd
Suite #17-186
Chandler, AZ 85226-7256
Phone (480) 833-1859

Other identifiers 1

IdentifierTypeStateIssuer
365404MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4050 W Ray Rd
Ste 17186
Chandler, AZ 85226

1140 S San Jose
Ste B
Mesa, AZ 85202
Phone (480) 833-1859

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1770752115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W RAY RD",
            "address_2": "SUITE #17-186",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852267256",
            "telephone_number": "480-833-1859",
            "fax_number": "480-833-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SAN JOSE",
            "address_2": "SUITE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852023879",
            "telephone_number": "480-833-1859",
            "fax_number": "480-833-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-833-1859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365404",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.