Individual provider Active NPI

Imani Najuma Williams-Vaughn, M.D.

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1841251253
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32653 Issued in AZ
Practice address
333 N Dobson Rd Ste 15
Chandler, AZ 85224-4412
Phone
(480) 282-8336
Fax
(480) 282-8365
NPI assigned
Mar 28, 2006
Last updated
Sep 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 7045160001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7047150001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7629170001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 705360001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7034950001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7046960001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7209350001 AZ
Family Medicine Physician 207Q00000X 32653 AZ Primary

Addresses

Primary practice location

333 N Dobson Rd Ste 15
Chandler, AZ 85224-4412

Mailing address

333 N Dobson Rd Ste 15
Chandler, AZ 85224-4412
Phone (480) 282-8336

Other practice location 1

3130 E Baseline Rd Ste 107
Mesa, AZ 85204-7290
Phone (480) 345-1980

Other practice location 2

3011 S Lindsay Rd Ste 101
Gilbert, AZ 85295-4333
Phone (480) 726-2500

Other practice location 3

270 E Hunt Hwy Ste A-2
San Tan Valley, AZ 85143-4962
Phone (480) 882-2222

Other practice location 4

15256 N 75th Ave Ste 360
Peoria, AZ 85381-4761
Phone (623) 486-2424

Other practice location 5

2 N Central Ave Ste 120
Phoenix, AZ 85004-2972
Phone (602) 296-4060

Other practice location 6

2145 E Warner Rd Ste 2145
Tempe, AZ 85284-3548
Phone (480) 664-9443

Other practice location 7

20860 N Tatum Blvd Ste 290
Phoenix, AZ 85050-4282
Phone (480) 563-1144

Other identifiers 1

IdentifierTypeStateIssuer
871229MedicaidAZ

Other names 1

  • Mrs. Imani Najuma Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001515 AZ Practitioner - Family Practice 3072592021 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32653AZMDFamily Medicine Physician
7034950001AZMDDurable Medical Equipment & Medical Supplies
7045160001AZMDDurable Medical Equipment & Medical Supplies
7046960001AZMDDurable Medical Equipment & Medical Supplies
7047150001AZMDDurable Medical Equipment & Medical Supplies
705360001AZMDDurable Medical Equipment & Medical Supplies
7209350001AZMDDurable Medical Equipment & Medical Supplies
7629170001AZMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC Family Medicine CurrentSince Nov 26, 2012 Accepting new patients
Good Health Medical, PLLC Family Medicine Current Accepting new patients
Afc of Peoria, PLLC Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
Afc of Tempe PLLC Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
Afc Physical Medicine of San Tan Valley, PLLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 4, 2017 Accepting new patients
Afc Physical Medicine of Gilbert, PLLC Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
Afc of Phoenix, PLLC Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
Afc Physical Medicine of Mesa, PLLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 4, 2017 Accepting new patients
Afc Physical Medicine of Desert Ridge,PLLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 4, 2017 Accepting new patients
Good Health Medical, PLLC Family Medicine CurrentSince Nov 26, 2012 Accepting new patients
RHG of Arizona, PC Family Medicine PastSince Dec 23, 2024 Accepting new patients
Livn, P.C. Family Medicine Past Accepting new patients
Ipn of Arizona, PLC Past Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

3011 S Lindsay Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 726-2500

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1839 S Alma School Rd
Mesa, AZ 85210
Phone (708) 612-1170

1839 S Alma School Rd
Ste 354
Mesa, AZ 85210

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

3130 E Baseline Rd
Ste 107
Mesa, AZ 85204
Phone (480) 345-1980

15256 N 75th Ave
Ste 360
Peoria, AZ 85381
Phone (623) 412-1259

1277 E Missouri Ave
Ste 101
Phoenix, AZ 85014
Phone (602) 296-4060

2 N Central Ave
Ste 120
Phoenix, AZ 85004
Phone (602) 296-4060

20860 N Tatum Blvd
Ste 290
Phoenix, AZ 85050
Phone (480) 563-1144

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 455-7444

270 E Hunt Hwy
Ste A2
San Tan Vly, AZ 85143
Phone (480) 882-2222

2145 E Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 644-9443

2145 E Warner Rd
Ste 2145
Tempe, AZ 85284
Phone (480) 664-9443

4600 S Mill Ave
Ste 280
Tempe, AZ 85282

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1841251253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N DOBSON RD STE 15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244412",
            "telephone_number": "480-282-8336",
            "fax_number": "480-282-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N DOBSON RD STE 15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244412",
            "telephone_number": "480-282-8336",
            "fax_number": "480-282-8365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 E Baseline Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852047290",
            "country_code": "US",
            "telephone_number": "480-345-1980",
            "fax_number": "480-926-1721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 S Lindsay Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852954333",
            "country_code": "US",
            "telephone_number": "480-726-2500",
            "fax_number": "480-726-2131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 E Hunt Hwy Ste A-2",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851434962",
            "country_code": "US",
            "telephone_number": "480-882-2222",
            "fax_number": "480-882-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15256 N 75th Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814761",
            "country_code": "US",
            "telephone_number": "623-486-2424",
            "fax_number": "623-486-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 N Central Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042972",
            "country_code": "US",
            "telephone_number": "602-296-4060",
            "fax_number": "602-296-4164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 E Warner Rd Ste 2145",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843548",
            "country_code": "US",
            "telephone_number": "480-664-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20860 N Tatum Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504282",
            "country_code": "US",
            "telephone_number": "480-563-1144",
            "fax_number": "480-563-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-VAUGHN",
        "first_name": "IMANI",
        "middle_name": "NAJUMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7045160001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7047150001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7629170001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "705360001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7034950001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7046960001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7209350001",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871229",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMANI",
            "last_name": "WILLIAMS",
            "middle_name": "NAJUMA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.