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DESERET FAMILY MEDICINE AT GOLD CANYON ARIZONA PLC
NPI 1487381992
Family Medicine in Gold Canyon, AZ

Active since August 04, 2022CLIA 03D0930586 · Microscopy
6410 S KINGS RANCH RD STE 1, GOLD CANYON, AZ 85118(480) 981-3000(480) 288-2879 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, Aug 5, 2022 (2 updates tracked since 2022).

About Deseret Family Medicine At Gold Canyon Arizona Plc NPPES

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

DESERET FAMILY MEDICINE AT GOLD CANYON ARIZONA PLC (NPI 1487381992) is a healthcare organization registered as a family medicine in Gold Canyon, Arizona and active in the NPI registry since August 2022. The organization holds a CLIA Microscopy certificate valid through November 9, 2026 and lists Robert Allen, Owner, as its authorized official.

NPPES Registry Identity

NPI1487381992
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESERET FAMILY MEDICINE AT GOLD CANYON ARIZONA PLC
Location Address6410 S KINGS RANCH RD STE 1Gold Canyon, AZ 85118-7352
Mailing Address6410 S Kings Ranch Rd Ste 1Gold Canyon, AZ 85118-7352 · (480) 981-3000 · Fax (480) 288-2879
Phone(480) 981-3000
Fax(480) 288-2879
Organization SubpartNo
Authorized OfficialRobert AllenOwner · (480) 981-3000
Enumeration DateAugust 4, 2022
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1487381992 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.
6410 S KINGS RANCH RD STE 1, Gold Canyon, AZ 85118
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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) 03D0930586

Desert Family Medicine At Gold Canyon Arizona, Plc · Gold Canyon, AZ
Active · expires Nov 9, 2026
CLIA Number03D0930586
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorRobert C. Allen
Laboratory Phone(480) 761-2500
Laboratory LocationDesert Family Medicine At Gold Canyon Arizona, Plc6410 S Kings Ranch Road Ste 1, Gold Canyon, AZ 85118
CLIA data matches this NPI record on: Address
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 4

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

DOUG S CLOUSE MD PLC
Orthopaedic Surgery
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ 85118
Pinal County (480) 899-4333
KIERSTIN LEALIIEE
Family Medicine
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ 85118
Pinal County (480) 761-2500
MRS. DONNA MARIE GORDY FNP-C
Nurse Practitioner (Family)
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ 85118
Pinal County (480) 761-2500
DESERET MEDICAL ASSOCIATES PLC
Family Medicine
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ 85118
Pinal County (480) 981-3000

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 Medicine At Gold Canyon Arizona Plc's NPI number?

The NPI number for Deseret Family Medicine At Gold Canyon Arizona Plc is 1487381992. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Deseret Family Medicine At Gold Canyon Arizona Plc located?

Deseret Family Medicine At Gold Canyon Arizona Plc is located at 6410 S Kings Ranch Rd Ste 1, Gold Canyon, AZ 85118. The listed phone number is (480) 981-3000.

What is Deseret Family Medicine At Gold Canyon Arizona Plc's specialty?

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

Does Deseret Family Medicine At Gold Canyon Arizona Plc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0930586) is associated with this NPI, valid through November 9, 2026. 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 Medicine At Gold Canyon Arizona Plc was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.