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GAIA VIRTUAL MEDICINE. LLC
NPI 1730800475
Family Medicine in Glendale, AZ

Active since September 12, 2022
4494 W PEORIA AVE #115A, SUITE 8, GLENDALE, AZ 85302(602) 626-4473 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Oct 15, 2022, Sep 12, 2022 (3 updates tracked since 2022).

About Gaia Virtual Medicine. Llc NPPES

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

GAIA VIRTUAL MEDICINE. LLC (NPI 1730800475) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since September 2022. The organization lists Keqiang Shen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730800475
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGAIA VIRTUAL MEDICINE. LLC
Location Address4494 W PEORIA AVE #115A, SUITE 8Glendale, AZ 85302
Mailing Address28913 N 23rd DrPhoenix, AZ 85085-0715 · (602) 626-4473
Phone(602) 626-4473
Organization SubpartNo
Authorized OfficialKeqiang ShenCeo · (480) 876-4013
Enumeration DateSeptember 12, 2022
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1730800475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X

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

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 Gaia Virtual Medicine. LLC's NPI number?

The NPI number for Gaia Virtual Medicine. LLC is 1730800475. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Gaia Virtual Medicine. LLC located?

Gaia Virtual Medicine. LLC is located at 4494 W Peoria Ave #115a Suite 8, Glendale, AZ 85302. The listed phone number is (602) 626-4473.

What is Gaia Virtual Medicine. LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Gaia Virtual Medicine. LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.