Organization Active NPI

Nova Medical Associates, LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1902518988
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 21, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL RXNT
Other URL eClinicalWorks

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.