Troy Leon Lomavaya

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

Highway 264, Milepost 388
Polacca, AZ 86042

Phone

(928) 737-6000

Fax

(928) 737-6055

NPI assigned

Jul 22, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2021.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1861065393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 264, MILEPOST 388",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "86042",
            "telephone_number": "928-737-6000",
            "fax_number": "928-737-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 264, MILEPOST 388",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "86042",
            "telephone_number": "928-737-6000",
            "fax_number": "928-737-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAVAYA",
        "first_name": "TROY",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542155229",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Lalo
• Han Le, PHARMD
• Anna Klaertje Lewis, M.D.
• Susan Lippold, M.D.
• Marti E. Loew, RN
• Beth L Love, RN
• Daniel C Lyons, PHARM.D.
• Delilah Grace Maldonado, RN
• Marilyn Masayesva, RN
• Preston Masayumptewa, RN

• All providers in Polacca, AZ
• Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.