Arizona Preferred Primary Care,PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARIZONA PREFERRED PRIMARY CARE,PLC

Practice address

3035 S Ellsworth Rd
Suite 103
Mesa, AZ 85212

Phone

(480) 736-1777

Fax

(480) 736-1144

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Abed El Nasser S Mogharbel

Title

Administrator

Phone

(480) 736-1184

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Marie Acevedo-Mogharbel, D.O

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1245222074
  Medicare reassignment NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1811941321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 S ELLSWORTH RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122160",
            "telephone_number": "480-736-1777",
            "fax_number": "480-736-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S ELLSWORTH RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "480-736-1777",
            "fax_number": "480-736-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PREFERRED PRIMARY CARE,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "MOGHARBEL",
        "authorized_official_first_name": "ABED EL NASSER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-736-1184",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "Z77747",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Performance Institute
• Arizona Physicians Hospice Care LLC
• Arizona PM&R LLC
• Arizona Post Acute Care Specialists LLC
• Arizona Preferred Podiatry Management, LLC
• Arizona Primary Care Services (Roberts Family Medicine)
• Arizona Private Care
• Arizona Psychology Consultants, Inc.
• Arizona Red Mountain Eyecare PC
• Arizona Respiratory & Pharmacy, Inc

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.