PARADISE VALLEY FAMILY MEDICINE, PC
NPI 1598872186
Family Medicine in Phoenix, AZ

Active since August 23, 2006CLIA Certified · 2 labs
11209 N TATUM BLVD, SUITE 180, PHOENIX, AZ 85028(602) 494-5155(602) 494-5115 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Paradise Valley Family Medicine, Pc NPPES

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

PARADISE VALLEY FAMILY MEDICINE, PC (NPI 1598872186) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Teresa J O'brien, Manager, as its authorized official.

NPPES Registry Identity

NPI1598872186
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePARADISE VALLEY FAMILY MEDICINE, PC
Location Address11209 N TATUM BLVD, SUITE 180Phoenix, AZ 85028-3091
Mailing Address11209 N. Tatum Blvd, Suite 180Phoenix, AZ 85028 · (602) 494-5155 · Fax (602) 494-5115
Fax(602) 494-5115
Organization SubpartNo
Authorized OfficialTeresa J O'brienManager · (602) 494-5118
Enumeration DateAugust 23, 2006
Last NPPES UpdateFebruary 11, 2020
NPI 1598872186 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.
11209 N TATUM BLVD, Phoenix, AZ 85028

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

CLIA Laboratory Certificates CMS CLIA 2

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) 03D0997703

Paradise Valley Family Medicine · Phoenix, AZ
Active · expires Mar 24, 2028
CLIA Number03D0997703
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorWarren C. Johnson MD
Laboratory Phone(602) 494-5155
Laboratory LocationParadise Valley Family Medicine11209 N Tatum Blvd Ste 180, Phoenix, AZ 85028
CLIA data matches this NPI record on: Address Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2073569

Paradise Valley Family Medicine-Grayhawk · Scottsdale, AZ
Active · expires Feb 19, 2028
CLIA Number03D2073569
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorAnthony J. Katz
Laboratory Phone(602) 494-5118
Laboratory LocationParadise Valley Family Medicine-Grayhawk7960 E Thompson Peak Pkwy, #101, Scottsdale, AZ 85255
CLIA data matches this NPI record on: Name Phone
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 20

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

Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE #110
PHOENIX, AZ 85028
Internal Medicine (Hematology & Oncology)
11209 N TATUM BLVD, SUITE 260
PHOENIX, AZ 85028
Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE # 110
PHOENIX, AZ 85028
Family Medicine
11209 N TATUM BLVD, SUITE 180
PHOENIX, AZ 85028
Nurse Practitioner (Family)
11209 N TATUM BLVD, SUITE 180
PHOENIX, AZ 85028
Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE 110
PHOENIX, AZ 85028
Family Medicine
11209 N TATUM BLVD, 175
PHOENIX, AZ 85028
Internal Medicine (Medical Oncology)
11209 N TATUM BLVD, SUITE 260
PHOENIX, AZ 85028

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 Paradise Valley Family Medicine, PC's NPI number?

The NPI number for Paradise Valley Family Medicine, PC is 1598872186. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Paradise Valley Family Medicine, PC located?

Paradise Valley Family Medicine, PC is located at 11209 N Tatum Blvd Suite 180, Phoenix, AZ 85028. The listed phone number is (602) 494-5155.

What is Paradise Valley Family Medicine, PC's specialty?

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

Does Paradise Valley Family Medicine, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Paradise Valley Family Medicine, PC accept?

Health plans from Ambetter from Arizona Complete Health list Paradise Valley Family Medicine, PC 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 Paradise Valley Family Medicine, PC was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.