Organization Active NPI

Yara Vargas MD PLC

  • Medical Specialty Clinic/Center
  • Mesa, AZ
National Provider Identifier
1780883108
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
33846 Issued in AZ
Legal business name
YARA VARGAS MD PLC
Practice address
2919 S Ellsworth Rd Ste 117
Mesa, AZ 85212-2166
Phone
(480) 365-0557
Fax
(480) 365-0996
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mrs. Reaj Virginia Roberts
Title
Office Manager
Phone
(602) 214-6154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 33846 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd Ste 117
Mesa, AZ 85212-2166

Mailing address

2919 S Ellsworth Rd Ste 117
Mesa, AZ 85212-2166
Phone (480) 365-0557

Other identifiers 1

IdentifierTypeStateIssuer
946329MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1780883108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122166",
            "telephone_number": "480-365-0557",
            "fax_number": "480-365-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122166",
            "telephone_number": "480-365-0557",
            "fax_number": "480-365-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARA VARGAS MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "REAJ",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-214-6154",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "33846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946329",
            "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 Jul 16, 2007; 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.