Organization Active NPI

Separtment of Veterns Affairs

  • VA Clinic/Center
  • Casa Grande, AZ
National Provider Identifier
1881836393
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
RN108343 Issued in AZ
Legal business name
SEPARTMENT OF VETERNS AFFAIRS
Practice address
1876 E Sabin Dr
Casa Grande, AZ 85222-6197
Phone
(520) 792-1450
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. Bhavesh K. Gupta, M.D.
Title
Director
Phone
(520) 609-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X RN108343 AZ Primary

Addresses

Primary practice location

1876 E Sabin Dr
Casa Grande, AZ 85222-6197

Mailing address

1876 E Sabin Dr
Casa Grande, AZ 85222-6197
Phone (520) 792-1450

Other names 1

  • Southern Arizona VA Health Care System Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1881836393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 E SABIN DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852226197",
            "telephone_number": "520-792-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 E SABIN DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852226197",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPARTMENT OF VETERNS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "BHAVESH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-609-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "AZ",
            "license": "RN108343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Arizona VA Health Care System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.