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GAVILAN PEAK FAMILY PRACTICE
NPI 1336132208
Family Medicine in Anthem, AZ

Active since August 25, 2005CLIA 03D1017232 · Waiver
3648 W ANTHEM WAY, A100, ANTHEM, AZ 85086(623) 434-6444(623) 434-6448 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2020, Dec 30, 2016 (2 updates tracked since 2016).

About Gavilan Peak Family Practice NPPES

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

GAVILAN PEAK FAMILY PRACTICE (NPI 1336132208) is a healthcare organization registered as a family medicine in Anthem, Arizona and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Savas Petrides, Svp/ceo, as its authorized official.

NPPES Registry Identity

NPI1336132208
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHONORHEALTH MEDICAL GROUP, LLC
Location Address3648 W ANTHEM WAY, A100Anthem, AZ 85086-7001
Mailing Address2500 W Utopia Rd Ste 100Phoenix, AZ 85027-4172 · (480) 587-5314
Phone(623) 434-6444
Fax(623) 434-6448
Organization SubpartNo
Authorized OfficialSavas PetridesSvp/ceo · (480) 696-4020
Enumeration DateAugust 25, 2005
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1336132208 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.
3648 W ANTHEM WAY, Anthem, AZ 85086
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Other Names 2

Doing Business AsGavilan Peak Family Practice
Former Legal Business NameJohn C. Lincoln, Llc

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

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 of Waiver 03D1017232

Honorhealth Medical Group And Urgent Care Gavilan Peak · Anthem, AZ
Active · expires Sep 18, 2027
CLIA Number03D1017232
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorJared Berkowitz
Laboratory Phone(623) 434-6444
Laboratory LocationHonorhealth Medical Group And Urgent Care Gavilan Peak3648 W Anthem Way, Bldg A-100, A-100c, Anthem, AZ 85086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

MELANIE CHRISTINE PATTON MD
Family Medicine
3648 W ANTHEM WAY, A-100
ANTHEM, AZ 85086
Maricopa County (623) 434-6444
EMILY WINETT M.D.
Family Medicine
3648 W ANTHEM WAY, BLDG A100
ANTHEM, AZ 85086
Maricopa County (623) 434-6444
JOHN C LINCOLN LLC
Family Medicine
3648 W ANTHEM WAY, SUITE A100
ANTHEM, AZ 85086
Maricopa County (602) 485-7482
NORTH MOUNTAIN IMAGING SPECIALISTS, LLC
Radiology (Diagnostic Radiology)
3648 W ANTHEM WAY, BUILDING A-100
ANTHEM, AZ 85086
Maricopa County (623) 780-3751
MRS. ERIN ELIZABETH SHELTON NP-C, RN
Nurse Practitioner (Family)
3648 W ANTHEM WAY
ANTHEM, AZ 85086
Maricopa County (623) 434-6444
FREYDA LETICIA VELAZQUEZ PEREZ MD
Family Medicine
3648 W ANTHEM WAY
ANTHEM, AZ 85086
Maricopa County (623) 434-6444
JOHN PHAM D.O.
Family Medicine (Adult Medicine)
3648 W ANTHEM WAY, SUITE A100
ANTHEM, AZ 85086
Maricopa County (623) 434-6444
HONORHEALTH MEDICAL GROUP, LLC
Radiologic Technologist
3648 W ANTHEM WAY, A-100
ANTHEM, AZ 85086
Maricopa County (623) 434-4444

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 Honorhealth Medical Group, LLC's NPI number?

The NPI number for Honorhealth Medical Group, LLC is 1336132208. It was assigned to this organization in the NPPES registry on August 25, 2005. The provider is doing business as Gavilan Peak Family Practice. The provider was formerly known as John C. Lincoln, LLC.

Where is Honorhealth Medical Group, LLC located?

Honorhealth Medical Group, LLC is located at 3648 W Anthem Way A100, Anthem, AZ 85086. The listed phone number is (623) 434-6444.

What is Honorhealth Medical Group, LLC's specialty?

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

Does Honorhealth Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1017232) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Honorhealth Medical Group, LLC was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.