Innovative Family Health Practices LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INNOVATIVE FAMILY HEALTH PRACTICES LLC

Practice address

4135 S Power Rd Ste 120
Mesa, AZ 85212-3626

Phone

(480) 892-7000

Fax

(480) 545-7001

NPI assigned

May 14, 2019

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee De Jesus

Title

Owner

Phone

(480) 892-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Bell, PA

  • Medical Physician Assistant
  • Gold Canyon, AZ
  • NPI 1013387406
  NPD (past)
• Christina Cousins, P.A.-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1922022813
  NPD (past)
• David J Farnsworth, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1194758524
  NPD (past)
• Hugo Fazz, M.D.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1588697031
  NPD (past)
• Dalenor R. Halls, P.A.-C

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1538183413

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1942866017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123626",
            "telephone_number": "480-892-7000",
            "fax_number": "480-545-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123626",
            "telephone_number": "480-892-7000",
            "fax_number": "480-545-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FAMILY HEALTH PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-892-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Innovative Pain and Wellness PLC
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• Lea Anne Inoue, LEA INOUE
• Rosmely Inouye
• Insight Energy Medicine

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.