Active NPI
Future Family Medicine PLLC
- Primary Care Clinic/Center
- Mesa, AZ
National Provider Identifier
1770752115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365404 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.