Active NPI
Yara Vargas MD PLC
- Medical Specialty Clinic/Center
- Mesa, AZ
National Provider Identifier
1780883108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 33846
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 946329 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI 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.