1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Clinic Center
  6. NPI Profile

DESERET FAMILY MEDICINE
NPI 1215960638
Clinic/Center - Multi-Specialty in Mesa, AZ

Active since July 09, 2006CLIA 03D0974107 · Microscopy
1425 S GREENFIELD RD, 101, MESA, AZ 85206(480) 981-3000(480) 654-5761 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2017, Jul 20, 2017, Jul 12, 2017 and 1 more (4 updates tracked since 2017).

About Deseret Family Medicine NPPES

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

DESERET FAMILY MEDICINE (NPI 1215960638) is a healthcare organization registered as a multi-specialty in Mesa, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through May 25, 2028 and lists Robert J Allen, President, as its authorized official.

NPPES Registry Identity

NPI1215960638
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDESERET FAMILY PRACTICE, LTD.
Location Address1425 S GREENFIELD RD, 101Mesa, AZ 85206-5529
Mailing Address1425 S Greenfield Rd, 101Mesa, AZ 85206-5529 · (480) 981-3000 · Fax (480) 654-5761
Phone(480) 981-3000
Fax(480) 654-5761
Organization SubpartNo
Authorized OfficialRobert J AllenPresident · (480) 981-3000
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 31, 20174 updates tracked since enumeration
✔ NPI 1215960638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X · License 4101 (AZ)
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 006034 (AZ)
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
1425 S GREENFIELD RD, Mesa, AZ 85206
Open in Google Maps ↗

Other Names 1

Doing Business AsDeseret Family Medicine

Other Identifiers 3

Medicare PINZDWBNHAZ
Medicare PINZWDBNHAZ
Medicare PINZWDCFSAZ

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0974107

Deseret Family Medicine At Greenfield, Plc · Mesa, AZ
Active · expires May 25, 2028
CLIA Number03D0974107
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorHugo Fazz
Laboratory Phone(480) 981-3000
Laboratory LocationDeseret Family Medicine At Greenfield, Plc7165 E University Dr Ste 141, Mesa, AZ 85207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

DR. DAVID J FARNSWORTH D.C.
Chiropractor
1425 S GREENFIELD RD, 101
MESA, AZ 85206
Maricopa County (480) 981-3000
ROBERT J ALLEN M.D.
Family Medicine
1425 S GREENFIELD RD, 101
MESA, AZ 85206
Maricopa County (480) 981-3000
DALENOR R. HALLS P.A.-C
Physician Assistant (Medical)
1425 S GREENFIELD RD, 101
MESA, AZ 85206
Maricopa County (480) 981-3000
AN ELEGANT SMILE P.C.
Dentist (General Practice)
1425 S GREENFIELD RD, BLDG 2 STE 110
MESA, AZ 85206
Maricopa County (480) 854-3434
IDENISE CABANAS P.A.-C
Physician Assistant (Medical)
1425 S GREENFIELD RD, 101
MESA, AZ 85206
Maricopa County (480) 981-3000
DR. EMILY HALL DMD
Dentist (General Practice)
1425 S GREENFIELD RD, BLDG 2, STE 110
MESA, AZ 85206
Maricopa County (480) 854-3434
DANIEL BALLARD PA
Physician Assistant (Medical)
1425 S GREENFIELD RD
MESA, AZ 85206
Maricopa County (480) 981-3000
CENTER FOR OUPATIENT IMAGING, L.L.C.
Clinic/Center (Radiology, Mammography)
1425 S GREENFIELD RD, SUITE 102
MESA, AZ 85206
Maricopa County (480) 324-8033

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 Deseret Family Practice, Ltd.'s NPI number?

The NPI number for Deseret Family Practice, Ltd. is 1215960638. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Deseret Family Practice, Ltd. located?

Deseret Family Practice, Ltd. is located at 1425 S Greenfield Rd 101, Mesa, AZ 85206. The listed phone number is (480) 981-3000.

What is Deseret Family Practice, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Deseret Family Practice, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0974107) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deseret Family Practice, Ltd. was last updated on July 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.