GILBERT PRIMARY CARE PC
NPI 1720153810
Internal Medicine in Mesa, AZ

Active since November 22, 2006CLIA 03D0980440 · Waiver
3048 E BASELINE RD, SUITE 120, MESA, AZ 85204(480) 505-3292(480) 505-3288 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gilbert Primary Care Pc NPPES

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

GILBERT PRIMARY CARE PC (NPI 1720153810) is a healthcare organization registered as an internal medicine in Mesa, Arizona and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Rene De Jesus, Controller, as its authorized official.

NPPES Registry Identity

NPI1720153810
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGILBERT PRIMARY CARE PC
Location Address3048 E BASELINE RD, SUITE 120Mesa, AZ 85204
Mailing Address3048 E Baseline Rd, Suite 120Mesa, AZ 85204 · (480) 505-3292 · Fax (480) 505-3288
Fax(480) 505-3288
Organization SubpartNo
Authorized OfficialRene De JesusController · (480) 505-3292
Enumeration DateNovember 22, 2006
Last NPPES UpdateApril 2, 2013
NPI 1720153810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
3048 E BASELINE RD, Mesa, AZ 85204

Other Names 1

Doing Business AsGilbert Primary Care Pc

Other Identifiers 1

Medicare UPINZ64475

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 of Waiver 03D0980440

Optum Primary Care-Gilbert Baseline · Mesa, AZ
Active · expires Nov 20, 2026
CLIA Number03D0980440
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorTara Ostrom
Laboratory Phone(480) 505-3276
Laboratory LocationOptum Primary Care-Gilbert Baseline3048 E Baseline Rd, #120, Mesa, AZ 85204
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only 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.

Nurse Practitioner (Family)
3048 E BASELINE RD, STE 109
MESA, AZ 85204
Family Medicine
3048 E BASELINE RD, STE 109
MESA, AZ 85204
Dentist
3048 E BASELINE RD, #128
MESA, AZ 85204
Dentist (Periodontics)
3048 E BASELINE RD, SUITE 112
MESA, AZ 85204
Clinic/Center (Oral and Maxillofacial Surgery)
3048 E BASELINE RD, SUITE #105
MESA, AZ 85204
Counselor
3048 E BASELINE RD, SUITE 108
MESA, AZ 85204
Specialist
3048 E BASELINE RD, STE 122
MESA, AZ 85204
Specialist
3048 E BASELINE RD, STE 122
MESA, AZ 85204

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 Gilbert Primary Care PC's NPI number?

The NPI number for Gilbert Primary Care PC is 1720153810. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Gilbert Primary Care PC located?

Gilbert Primary Care PC is located at 3048 E Baseline Rd Suite 120, Mesa, AZ 85204. The listed phone number is (480) 505-3292.

What is Gilbert Primary Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Gilbert Primary Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0980440) is associated with this NPI, valid through November 20, 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 Gilbert Primary Care PC was last updated on April 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.