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LUMINA SURGICAL GYNECOLOGY
NPI 1699604066
Obstetrics & Gynecology - Gynecology in Mesa, AZ

Active since May 13, 2026
1910 S STAPLEY DR STE 120, MESA, AZ 85204(480) 744-1518(602) 584-4120 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lumina Surgical Gynecology NPPES

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

LUMINA SURGICAL GYNECOLOGY (NPI 1699604066) is a healthcare organization registered as a gynecology in Mesa, Arizona and active in the NPI registry since May 2026. The organization maintains a secondary practice location in Scottsdale and lists Jamal Mourad, Owner, as its authorized official.

NPPES Registry Identity

NPI1699604066
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameLUMINA SURGICAL GYNECOLOGY
Location Address1910 S STAPLEY DR STE 120Mesa, AZ 85204-6676
Mailing Address8722 E Laurel StMesa, AZ 85207-3021 · (602) 722-4179 · Fax (602) 584-4120
Phone(480) 744-1518
Fax(602) 584-4120
Organization SubpartNo
Authorized OfficialJamal MouradOwner · (602) 722-4179
Enumeration DateMay 13, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1699604066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1910 S STAPLEY DR STE 120, Mesa, AZ 85204
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Other Names 1

Doing Business AsLumina Surgical Gynecology

Secondary Practice Location 1

Location 19700 N 91st St Ste A115Scottsdale, AZ 85258-5036 · Phone (480) 744-1518 · Fax (602) 584-4120

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 20

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

EVOLVE HEALTH AND WEIGHT SOLUTIONS PLLC
Physician Assistant (Medical)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (480) 896-2616
GLOWLINE SISTERS BEAUTY & WELLNESS
Registered Nurse (Infusion Therapy)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (480) 733-7879
ASHLEY DISTEFANO ND
Naturopath
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (480) 770-5337
MRS. ANGEL BETH PAIGE LPCC, LPC, LISAC
Counselor (Professional)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (520) 447-1606
DR. AMIE N BARBANTI NMD
Naturopath
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (602) 403-8060
DR. JOLENE THWEATT FNP
Nurse Practitioner (Family)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (480) 857-3187
ADRIANA ST GERMAIN RN
Registered Nurse
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (480) 788-7379
DR. VERA A BROWN DMD
Dentist
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Maricopa County (480) 489-7293

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 Lumina Surgical Gynecology's NPI number?

The NPI number for Lumina Surgical Gynecology is 1699604066. It was assigned to this organization in the NPPES registry on May 13, 2026.

Where is Lumina Surgical Gynecology located?

Lumina Surgical Gynecology is located at 1910 S Stapley Dr Ste 120, Mesa, AZ 85204. The listed phone number is (480) 744-1518.

What is Lumina Surgical Gynecology's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Lumina Surgical Gynecology was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.