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GRAND CANYON FAMILY MEDICINE PC
NPI 1164510616
Family Medicine in Chandler, AZ

Active since October 10, 2006CLIA Certified · 2 labs
3960 E RIGGS RD, SUITE 1, CHANDLER, AZ 85249(480) 786-4441(480) 786-4609 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, Jul 21, 2022, Feb 2, 2016 (3 updates tracked since 2016).

About Grand Canyon Family Medicine Pc NPPES

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

GRAND CANYON FAMILY MEDICINE PC (NPI 1164510616) is a healthcare organization registered as a family medicine in Chandler, Arizona and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Robert M Tognacci, Owner, as its authorized official.

NPPES Registry Identity

NPI1164510616
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND CANYON FAMILY MEDICINE PC
Location Address3960 E RIGGS RD, SUITE 1Chandler, AZ 85249-5410
Mailing Address3960 E Riggs Rd, Suite 1Chandler, AZ 85249-5410 · (480) 786-4441 · Fax (480) 786-4609
Phone(480) 786-4441
Fax(480) 786-4609
Organization SubpartNo
Authorized OfficialRobert M TognacciOwner · (480) 786-4441
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1164510616 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.
3960 E RIGGS RD, Chandler, AZ 85249
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Other Identifiers 1

Medicaid362513AZ

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 03D1064080

Grand Canyon Family Medicine PC · Chandler, AZ
Active · expires Jan 28, 2027
CLIA Number03D1064080
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorRobert Tognacci Do
Laboratory Phone(480) 786-4441
Laboratory LocationGrand Canyon Family Medicine PC3960 E Riggs Rd, Ste 1, Chandler, AZ 85249
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 03D2340009

Grand Canyon Family Medicine · Chandler, AZ
Active · expires Mar 10, 2028
CLIA Number03D2340009
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorRobert M. Tognacci
Laboratory Phone(480) 786-4441
Laboratory LocationGrand Canyon Family Medicine3950 E Riggs Rd Ste 2, Chandler, AZ 85249
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 6

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

LORRETTA K MCCARTHY DO
Family Medicine
3960 E RIGGS RD, SUITE 1
CHANDLER, AZ 85249
Maricopa County (480) 786-4441
PAULA FITZGERALD SMITH FNP
Nurse Practitioner (Family)
3960 E RIGGS RD, #1
CHANDLER, AZ 85249
Maricopa County (480) 786-4441
BENJAMIN R MENLOVE DDS PC
Dentist (General Practice)
3960 E RIGGS RD, SUITE 2
CHANDLER, AZ 85249
Maricopa County (480) 895-7979
GEMINI PALLIATIVE CARE
In Home Supportive Care
3960 E RIGGS RD, SUITE 4
CHANDLER, AZ 85249
Maricopa County (480) 883-1353
MS. ARLENE BERIT FAUCON NP
Nurse Practitioner (Family)
3960 E RIGGS RD, #1
CHANDLER, AZ 85249
Maricopa County (480) 786-4441
CARLOS LOPEZ LLC
Dentist (General Practice)
3960 E RIGGS RD, STE. 5
CHANDLER, AZ 85249
Maricopa County (480) 895-9373

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 Grand Canyon Family Medicine PC's NPI number?

The NPI number for Grand Canyon Family Medicine PC is 1164510616. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Grand Canyon Family Medicine PC located?

Grand Canyon Family Medicine PC is located at 3960 E Riggs Rd Suite 1, Chandler, AZ 85249. The listed phone number is (480) 786-4441.

What is Grand Canyon Family Medicine PC's specialty?

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

Does Grand Canyon Family Medicine PC hold CLIA laboratory certificates?

Yes. 2 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 Grand Canyon Family Medicine PC accept?

Health plans from Ambetter from Arizona Complete Health list Grand Canyon Family Medicine PC 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 Grand Canyon Family Medicine PC was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.