Organization Active NPI

Covenant Care Family Medicine Inc

  • Family Medicine Physician
  • Paradise Valley, AZ
National Provider Identifier
1861636573
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COVENANT CARE FAMILY MEDICINE INC
Practice address
10595 N Tatum Blvd Ste E144
Paradise Valley, AZ 85253-1072
Phone
(480) 907-7978
Fax
(480) 588-7340
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Dr. Steven T. Hoshiwara, M.D.NPI 1093760423
Title
Physician
Phone
(480) 907-7978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10595 N Tatum Blvd Ste E144
Paradise Valley, AZ 85253-1072

Mailing address

10595 N Tatum Blvd Ste E144
Paradise Valley, AZ 85253-1072
Phone (480) 907-7978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000495 AZ Part B Supplier - Clinic/Group Practice 5395890461 Receives reassigned benefits from 2 practitioners
Practice locations: Paradise Valley, 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
03D1102514Covenant Care Family Medicine10595 N Tatum Blvd #E144, Paradise Valley, AZ 85253Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1861636573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10595 N TATUM BLVD STE E144",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531072",
            "telephone_number": "480-907-7978",
            "fax_number": "480-588-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10595 N TATUM BLVD STE E144",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531072",
            "telephone_number": "480-907-7978",
            "fax_number": "480-588-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "HOSHIWARA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-907-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.