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: July 19, 2026.

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

  • Organization
  • Family Medicine

About GAIA VIRTUAL MEDICINE. LLC

This page provides the complete NPI Profile along with additional information for Gaia Virtual Medicine. Llc, a primary care provider established in Glendale, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1730800475 assigned on September 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Gaia Virtual Medicine. Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Keqiang Shen Fnp (Ceo)

NPI
1730800475 Verify this NPI
Provider Name
GAIA VIRTUAL MEDICINE. LLC
Entity Type
Organization
Location Address
4494 W PEORIA AVE #115A SUITE 8 GLENDALE, AZ 85302
Location Phone
(602) 626-4473
Mailing Address
28913 N 23RD DR PHOENIX, AZ 85085
Mailing Phone
(602) 626-4473
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2022
Last Update Date
05-20-2025
Code Navigator

A primary care provider (PCP) like Gaia Virtual Medicine. Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2253Z00000XAgencies

In Home Supportive Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEQIANG SHEN FNP

Authorized Official Title
CEO
Authorized Official Phone
(480) 876-4013

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730800475, enumerated as an "organization" on September 12, 2022.

The provider is located at 4494 W PEORIA AVE #115A SUITE 8 GLENDALE, AZ 85302 and the phone number is (602) 626-4473.

Family Medicine with taxonomy code 207Q00000X.