Agape Primary Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AGAPE PRIMARY CARE, PLLC

Practice address

8380 W Emile Zola Ave # 5178
Peoria, AZ 85381-4811

Phone

(623) 219-7768

Fax

(480) 436-6926

NPI assigned

Mar 22, 2017

Last updated

Mar 22, 2017By 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

Paulina SimonNPI 1962959346

Title

Owner

Phone

(623) 219-7768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 4

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.

• Paulina Simon, AGPCNP

  • Primary Care Nurse Practitioner
  • Peoria, AZ
  • NPI 1962959346
  Medicare reassignment NPD Authorized official
• Valarie C. Grogan, DO

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1912085655
  Medicare reassignment NPD
• Jane Kinstler, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1235521147
  Medicare reassignment NPD
• Sorana Liana Pop, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1164802690
  Medicare reassignment NPD

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1992236848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 W EMILE ZOLA AVE # 5178",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814811",
            "telephone_number": "623-219-7768",
            "fax_number": "480-436-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 W EMILE ZOLA AVE # 5178",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814811",
            "telephone_number": "623-219-7768",
            "fax_number": "480-436-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "PAULINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-219-7768"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afc of Peoria, PLLC
• Afc of Peoria, PLLC
• Affiliated Internal Medicine Associates, LLC
• Dominic Robert Affuso
• Jennifer Affuso
• Pradeep Kumar Agarwal, MD
• Rashi Agarwal, M.D.
• Ashim Aggarwal, MD
• Agua Fria Senior Living, LLC (The Mission at Agua Fria)
• Dean Aguilar, DMD

• Family Medicine Physician in Peoria, AZ
• Providers in Peoria, 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 Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.