JACKRABBIT FAMILY MEDICINE INC
NPI 1427258706
Clinic/Center - Primary Care in Phoenix, AZ

NPI Status: Active since July 24, 2007

Contact Information

4141 N 32ND ST
SUITE 105
PHOENIX, AZ
ZIP 85018
Phone: (602) 279-2337
Fax: (602) 448-8321

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 03D0971549
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-28-2028

About JACKRABBIT FAMILY MEDICINE INC

This page provides the complete NPI Profile along with additional information for Jackrabbit Family Medicine Inc, a primary care provider established in Phoenix, Arizona operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1427258706 assigned on July 2007. The practitioner's primary taxonomy code is 261QP2300X with license number 22811 (AZ). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Gabrielle Julie Goodrick Md (President)

NPI
1427258706
Provider Name
JACKRABBIT FAMILY MEDICINE INC
Entity Type
Organization
Location Address
4141 N 32ND ST SUITE 105 PHOENIX, AZ 85018
Location Phone
(602) 279-2337
Location Fax
(602) 448-8321
Mailing Address
4141 N 32ND ST SUITE 105 PHOENIX, AZ 85018
Mailing Phone
(602) 279-2337
Mailing Fax
(602) 448-8321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2007
Last Update Date
01-03-2019
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A primary care provider (PCP) like Jackrabbit Family Medicine Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
22811
License State
AZ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GABRIELLE JULIE GOODRICK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(602) 279-2337

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D0971549
Facility Type
Physician Office
Certificate Effective Date
March 29, 2026
Certificate Expiration Date
March 28, 2028
Laboratory Director
GABRIELLE J. GOODRICK MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jackrabbit Family Medicine Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427258706, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 4 + 5 + 1 + 6 + 7 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1427258706.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Endodontics)
4141 N 32ND ST, SUITE 100
PHOENIX, AZ 85018
Clinic/Center (Sleep Disorder Diagnostic)
4141 N 32ND ST, SUITE 104
PHOENIX, AZ 85018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427258706, enumerated as an "organization" on July 24, 2007.

The provider is located at 4141 N 32ND ST SUITE 105 PHOENIX, AZ 85018 and the phone number is (602) 279-2337.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.