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ENTICARE PC
NPI 1598520074
Otolaryngology - Plastic Surgery within the Head & Neck in San Tan Valley, AZ

Active since February 14, 2024
36457 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140(480) 214-9000(480) 214-9999 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enticare Pc NPPES

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

ENTICARE PC (NPI 1598520074) is a healthcare organization registered as a plastic surgery within the head & neck in San Tan Valley, Arizona and active in the NPI registry since February 2024. The organization lists Homan Mostafavi, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1598520074
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameENTICARE PC
Location Address36457 N GANTZEL RD STE 101San Tan Valley, AZ 85140-7343
Mailing Address2051 W Chandler Blvd Ste 5Chandler, AZ 85224-6239 · (480) 214-9000 · Fax (480) 214-9999
Phone(480) 214-9000
Fax(480) 214-9999
Organization SubpartNo
Authorized OfficialHoman MostafaviMember Manager · (480) 214-9000
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1598520074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
36457 N GANTZEL RD STE 101, San Tan Valley, AZ 85140
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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

Other Providers at the Same Location NPPES

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

KATELYN ANNE VIRNELSON PA-C
Physician Assistant
36457 N GANTZEL RD STE 101
SAN TAN VALLEY, AZ 85140
Maricopa County (480) 214-9000

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 Enticare PC's NPI number?

The NPI number for Enticare PC is 1598520074. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Enticare PC located?

Enticare PC is located at 36457 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140. The listed phone number is (480) 214-9000.

What is Enticare PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

When was this NPI record last updated?

The NPPES record for Enticare PC was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.