VMG LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VMG LLC

Practice address

212 W Superstition Blvd
Suite 101
Apache Junction, AZ 85220-4127

Phone

(480) 983-4200

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By 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

Shannon Gray

Title

Member Practice Manager

Phone

(480) 983-4200

Specialties & licenses 1

Addresses

Tax ID family

Vista Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• VMG, LLC

  dba Vista Medical Group

  • Specialist
  • Mesa, AZ
  • NPI 1093043531
  NPD tax ID

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801912720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W SUPERSTITION BLVD",
            "address_2": "SUITE 101",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852204127",
            "telephone_number": "480-983-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W SUPERSTITION BLVD",
            "address_2": "SUITE 101",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852204127",
            "telephone_number": "480-983-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MEMBER PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-983-4200"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahand Vafadary, M.D.
• Valor Mountain Wellness
• Sandra Soledad Vargas
• Esther Vaughn
• Patrick Vinck, M.D.
• Joan C Vojtkofsky, APRN
• Michelle Wadsworth, LPN
• Wal-Mart Stores, Inc. (Vision Center 30-1381)
• Walgreen Co (Walgreens #02963)
• Walgreen Co (Walgreens #04188)

• Primary Care Clinic/Center in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.