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WARNER FAMILY PRACTICE PC NPI 1649309816


NPI Information

NPI: 1649309816
Provider Name: WARNER FAMILY PRACTICE, PC

Doing Business As: OPTUM PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 03D2162996

Address:
2905 W WARNER RD
SUITE 12
CHANDLER, AZ
ZIP 85224
Phone: (480) 831-8457
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WARNER FAMILY PRACTICE, PC is a primary care clinic center in Chandler, AZ. WARNER FAMILY PRACTICE, PC NPI is 1649309816. The provider is registered as an organization entity type.
The provider Is Doing Business As Optum Primary Care.

The provider's business location address is:

2905 W WARNER RD
SUITE 12
CHANDLER, AZ
ZIP 85224-674
Phone: (480) 831-8457
Fax: (480) 491-3112

The provider's authorized official is Emily Castillo .
The authorized official title is Regional Manager and has the following contact phone number (702) 480-2550.

The CLIA number assigned to this NPI record is 03D2162996 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 9/2/2023.


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
1261QP2300XClinic/CenterPrimary Care1601ARIZONAYes

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: 4/28/2024

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