NPIMap

Organization Active NPI

Mulberry Medical LLC

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1831980986
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MULBERRY MEDICAL LLC
Practice address
5801 S McClintock Dr Ste 104
Tempe, AZ 85283-6002
Phone
(623) 220-2601
Fax
(623) 220-2602
NPI assigned
May 16, 2025
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Mr. Joseph Furtado, RN
Title
President/Ceo
Phone
(623) 220-2601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X

Addresses

Primary practice location

5801 S McClintock Dr Ste 104
Tempe, AZ 85283-6002

Mailing address

PO Box 51270
Mesa, AZ 85208-0064
Phone (623) 220-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624003688 AZ Part B Supplier - Clinic/Group Practice 2365954450 Receives reassigned benefits from 39 practitioners
Practice locations: Tempe, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2334724Mulberry Medical LLC Dba Mulberry Health5801 S McClintock Dr Ste 104, Tempe, AZ 85283Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

1580 E Valerie St
Casa Grande, AZ 85122

5801 S McClintock Dr
Ste 104
Tempe, AZ 85283
Phone (623) 220-2601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIDD

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1831980986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51270",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852080064",
            "telephone_number": "623-220-2601",
            "fax_number": "623-220-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S MCCLINTOCK DR STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852836002",
            "telephone_number": "623-220-2601",
            "fax_number": "623-220-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "FURTADO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "623-220-2601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.