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CASA GRANDE FAMILY PHYSICIANS PC NPI 1295085678


NPI Information

NPI: 1295085678
Provider Name: CASA GRANDE FAMILY PHYSICIANS PC

Doing Business As: CASA GRANDE FAMILY PHYSICIANS PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D0886982

Address:
1760 E FLORENCE BLVD STE 260
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 836-3600
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CASA GRANDE FAMILY PHYSICIANS PC is a family medicine in Casa Grande, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CASA GRANDE FAMILY PHYSICIANS PC NPI is 1295085678. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Casa Grande Family Physicians Pc.

The provider's business location address is:

1760 E FLORENCE BLVD STE 260
CASA GRANDE, AZ
ZIP 85122-769
Phone: (520) 836-3600
Fax: (520) 836-6757

The provider's authorized official is Aniceto C Gonda .
The authorized official title is Doctor and has the following contact phone number (520) 836-3600.

The CLIA number assigned to this NPI record is 03D0886982 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.