1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Clinic Center
  6. NPI Profile

ARIZONA FAMILY & GERIATRIC MEDICINE PLLC
NPI 1740596733
Clinic/Center - Primary Care in Mesa, AZ

Active since August 27, 2010CLIA 03D2000793 · Waiver
5602 E. MAIN ST., MESA, AZ 85205(480) 854-9004(480) 832-1858 Get Directions Write a Review

NPPES record last updated: October 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arizona Family & Geriatric Medicine Pllc NPPES

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

ARIZONA FAMILY & GERIATRIC MEDICINE PLLC (NPI 1740596733) is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Minh Luong, Physician, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1740596733
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameARIZONA FAMILY & GERIATRIC MEDICINE PLLC
Location Address5602 E. MAIN ST.Mesa, AZ 85205
Mailing Address5602 E. Main St.Mesa, AZ 85205 · (480) 854-9004 · Fax (480) 832-1858
Phone(480) 854-9004
Fax(480) 832-1858
Organization SubpartNo
Authorized OfficialMinh LuongPhysician, Co-owner · (480) 854-9004
Enumeration DateAugust 27, 2010
Last NPPES UpdateOctober 12, 2017
✔ NPI 1740596733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AZ · 41809
5602 E. MAIN ST., Mesa, AZ 85205
Open in Google Maps ↗

Other Identifiers 1

Medicare PINOB1083820761AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D2000793

Arizona Family & Geriatric Medicine PLLC · Mesa, AZ
Active · expires Dec 6, 2027
CLIA Number03D2000793
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorMinh T. Luong
Laboratory Phone(480) 854-9004
Laboratory LocationArizona Family & Geriatric Medicine PLLC5620 E Main St, Mesa, AZ 85205
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Arizona Family & Geriatric Medicine PLLC's NPI number?

The NPI number for Arizona Family & Geriatric Medicine PLLC is 1740596733. It was assigned to this organization in the NPPES registry on August 27, 2010.

Where is Arizona Family & Geriatric Medicine PLLC located?

Arizona Family & Geriatric Medicine PLLC is located at 5602 E. Main St., Mesa, AZ 85205. The listed phone number is (480) 854-9004.

What is Arizona Family & Geriatric Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Arizona Family & Geriatric Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2000793) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arizona Family & Geriatric Medicine PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Arizona Family & Geriatric Medicine PLLC 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 Arizona Family & Geriatric Medicine PLLC was last updated on October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.