EAST VALLEY FAMILY PRACTICE, LLC
NPI 1548509490
Family Medicine in Gilbert, AZ

Active since February 12, 2013CLIA 03D2060165 · Waiver
3885 S VAL VISTA DR, #103, GILBERT, AZ 85297(480) 269-8436(480) 269-8438 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About East Valley Family Practice, Llc NPPES

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

EAST VALLEY FAMILY PRACTICE, LLC (NPI 1548509490) is a healthcare organization registered as a family medicine in Gilbert, Arizona and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Sunita Gupta, Proprietor/director, as its authorized official.

NPPES Registry Identity

NPI1548509490
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST VALLEY FAMILY PRACTICE, LLC
Location Address3885 S VAL VISTA DR, #103Gilbert, AZ 85297-7313
Mailing Address3885 S Val Vista Dr, #103Gilbert, AZ 85297-7313 · (480) 269-8436 · Fax (480) 269-8438
Fax(480) 269-8438
Organization SubpartNo
Authorized OfficialSunita GuptaProprietor/director · (480) 269-8436
Enumeration DateFebruary 12, 2013
Last NPPES UpdateApril 4, 2013
✔ NPI 1548509490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 41594
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.
3885 S VAL VISTA DR, Gilbert, AZ 85297

Other Identifiers 1

Medicaid453323AZ

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Valley Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to East Valley Family Practice, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1750319265
3885 S VAL VISTA DR #103
Gilbert, AZ 85297
(480) 269-8436
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639553704
3885 S VAL VISTA DR STE 103
Gilbert, AZ 85297
(480) 269-8436
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 03D2060165

East Valley Family Practice · Gilbert, AZ
Active · expires Jun 6, 2027
CLIA Number03D2060165
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorSunita Gupta
Laboratory Phone(480) 269-8436
Laboratory LocationEast Valley Family Practice3885 S Val Vista Dr, #103, Gilbert, AZ 85297
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 East Valley Family Practice, LLC's NPI number?

The NPI number for East Valley Family Practice, LLC is 1548509490. It was assigned to this organization in the NPPES registry on February 12, 2013.

Where is East Valley Family Practice, LLC located?

East Valley Family Practice, LLC is located at 3885 S Val Vista Dr #103, Gilbert, AZ 85297. The listed phone number is (480) 269-8436.

What is East Valley Family Practice, LLC's specialty?

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

Is East Valley Family Practice, LLC enrolled in Medicare?

Yes. East Valley Family Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Valley Family Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to East Valley Family Practice, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Valley Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2060165) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Valley Family Practice, LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list East Valley Family Practice, LLC 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 East Valley Family Practice, LLC was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.