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DESERT GROVE FAMILY MEDICAL
NPI 1093764938
Family Medicine in Mesa, AZ

Active since May 09, 2006CLIA Certified · 5 labs
1855 N STAPLEY DR, MESA, AZ 85203(480) 834-7546(480) 833-8313 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desert Grove Family Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERT GROVE FAMILY MEDICAL (NPI 1093764938) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since May 2006. The organization holds 5 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Michelle Dinsdale, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093764938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERITAGE TECHNOLOGIES, LLC
Location Address1855 N STAPLEY DRMesa, AZ 85203-3002
Mailing Address1855 N Stapley DrMesa, AZ 85203-3002 · (480) 834-7546 · Fax (480) 833-8313
Phone(480) 834-7546
Fax(480) 833-8313
Organization SubpartNo
Authorized OfficialMichelle DinsdaleExecutive Director · (480) 834-7546
Enumeration DateMay 9, 2006
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1093764938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1855 N STAPLEY DR, Mesa, AZ 85203
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Other Names 1

Doing Business AsDesert Grove Family Medical

Secondary Practice Locations 5

Location 120928 E Heritage Loop Rd Ste 106Queen Creek, AZ 85142-3900 · Phone (480) 834-7546 · Fax (480) 833-8313
Location 21492 S Mill Ave Ste 101Tempe, AZ 85281-5660 · Phone (480) 834-7546 · Fax (480) 833-8313
Location 310238 E Hampton Ave Ste 508Mesa, AZ 85209-3321 · Phone (480) 834-7546
Location 410238 E Hampton Ave Ste 506Mesa, AZ 85209-3321 · Phone (480) 834-7546 · Fax (480) 833-8313
Location 55656 S Power Rd Ste 126Gilbert, AZ 85295-8489 · Phone (480) 834-7546 · Fax (480) 833-8313

Other Identifiers 1

Medicaid633795AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Imperial Insurance Companies, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0930501

Desert Grove Family Medical · Mesa, AZ
Active · expires Jul 14, 2027
CLIA Number03D0930501
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRichard J. Dinsdale MD
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical1855 N Stapley Dr, Mesa, AZ 85203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2064422

Desert Grove Family Medicine - Tempe · Tempe, AZ
Active · expires Aug 19, 2027
CLIA Number03D2064422
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorRichard J. Dinsdale
Laboratory Phone(602) 797-7107
Laboratory LocationDesert Grove Family Medicine - Tempe1492 S Mill Ave, Ste 101, Tempe, AZ 85281
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1103845

Desert Grove Family Medical · Queen Creek, AZ
Active · expires Jul 22, 2027
CLIA Number03D1103845
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorRichard J. Dinsdale
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical20926 E Heritage Loop Rd, Ste 106, Queen Creek, AZ 85142
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0930568

Desert Grove Family Medical · Mesa, AZ
Active · expires Jul 14, 2027
CLIA Number03D0930568
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRichard J. Dinsdale MD
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical10238 E Hampton Ave #508, Mesa, AZ 85209
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0930569

Desert Grove Family Medical · Gilbert, AZ
Active · expires Jul 14, 2027
CLIA Number03D0930569
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRichard J. Dinsdale
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical5656 S Power Rd, #126, Gilbert, AZ 85295
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IAN ANDREW BATES PA-C
Physician Assistant (Medical)
1855 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 834-7546
DONALD JASON WHITE M.D.
Internal Medicine
1855 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 834-7546
THANH PHAN FNP
Nurse Practitioner (Family)
1855 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 834-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Technologies, LLC's NPI number?

The NPI number for Heritage Technologies, LLC is 1093764938. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Desert Grove Family Medical.

Where is Heritage Technologies, LLC located?

Heritage Technologies, LLC is located at 1855 N Stapley Dr, Mesa, AZ 85203. The listed phone number is (480) 834-7546.

What is Heritage Technologies, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Heritage Technologies, LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Heritage Technologies, LLC accept?

Health plans from Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Heritage Technologies, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heritage Technologies, LLC was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.