Active NPI
Nova Medical Associates, LLC
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1902518988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NOVA MEDICAL ASSOCIATES, LLC
- Practice address
- 3201 W Peoria Ave Ste D805
Phoenix, AZ 85029-4600 - Phone
- (602) 569-5437
- Fax
- (855) 583-3686
- NPI assigned
- Dec 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mirta Celina Dalotto
- Title
- Ceo
- Phone
- (602) 569-5437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3201 W Peoria Ave Ste D805
Phoenix, AZ 85029-4600
Mailing address
727 E Bethany Home Rd Ste B112
Phoenix, AZ 85014-2151
Phone (602) 279-2400
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RXNT | ||
| Other URL | eClinicalWorks |
National Provider Directory
National Provider DirectoryLocations
727 E Bethany Home Rd
Ste A101
Phoenix, AZ 85014
Phone (602) 279-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1902518988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 E BETHANY HOME RD STE B112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142151",
"telephone_number": "602-279-2400",
"fax_number": "602-603-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE STE D805",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294600",
"telephone_number": "602-569-5437",
"fax_number": "855-583-3686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "DALOTTO",
"authorized_official_first_name": "MIRTA",
"authorized_official_middle_name": "CELINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-569-5437"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RXNT",
"affiliation": "N",
"address_1": "727 E Bethany Home Rd Ste A101",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850142192",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "eClinicalWorks",
"affiliation": "N",
"address_1": "3201 W Peoria Ave Ste D805",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850294600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.