Organization Active NPI

Mesa Medical Center Inc.

  • General Practice Physician
  • Mesa, AZ
National Provider Identifier
1992967970
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MESA MEDICAL CENTER INC.
Practice address
2830 E Brown Rd
Mesa, AZ 85213-5430
Phone
(480) 335-9758
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Ira Aghadjanians
Title
Ceo
Phone
(480) 335-9758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2830 E Brown Rd
Mesa, AZ 85213-5430

Mailing address

2830 E Brown Rd
Mesa, AZ 85213-5430
Phone (480) 335-9758

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1992967970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135430",
            "telephone_number": "480-335-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135430",
            "telephone_number": "480-335-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "AGHADJANIANS",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-335-9758"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.