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ADVANCED FAMILY HEALTHCARE PLLC
NPI 1801205331
Family Medicine in Mesa, AZ

Active since August 08, 2014CLIA 03D2083155 · Waiver
4121 E VALLEY AUTO DR, SUITE # 110, MESA, AZ 85206(480) 892-1122(480) 892-2243 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Family Healthcare Pllc NPPES

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

ADVANCED FAMILY HEALTHCARE PLLC (NPI 1801205331) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Michael Crismon, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1801205331
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED FAMILY HEALTHCARE PLLC
Location Address4121 E VALLEY AUTO DR, SUITE # 110Mesa, AZ 85206-4631
Mailing Address4121 E Valley Auto Dr, Suite # 110Mesa, AZ 85206-4631 · (480) 892-1122 · Fax (480) 892-2243
Phone(480) 892-1122
Fax(480) 892-2243
Organization SubpartNo
Authorized OfficialMichael CrismonManaging Member · (480) 892-1122
Enumeration DateAugust 8, 2014
✔ NPI 1801205331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4121 E VALLEY AUTO DR, Mesa, AZ 85206
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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 03D2083155

Advanced Family Healthcare PLLC · Mesa, AZ
Active · expires Aug 27, 2026
CLIA Number03D2083155
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorAnnette Lopez
Laboratory Phone(480) 892-1122
Laboratory LocationAdvanced Family Healthcare PLLC4540 E Baseline Rd Ste 111, Mesa, AZ 85206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

LISA J DAUGHTERS
Counselor (Professional)
4121 E VALLEY AUTO DR, SUITE 122
MESA, AZ 85206
Maricopa County (602) 285-9696
ELLSWORTH FOOT AND ANKLE PLLC
Podiatrist (Foot & Ankle Surgery)
4121 E VALLEY AUTO DR, #110
MESA, AZ 85206
Maricopa County (480) 892-1540
MRS. CATHYANN M HERSOM LPC, MC
Counselor
4121 E VALLEY AUTO DR, SUITE 122
MESA, AZ 85206
Maricopa County (602) 285-9696
HOPEBRIDGE LLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4121 E VALLEY AUTO DR
MESA, AZ 85206
Maricopa County (855) 324-0885
CIRCLE OF LIFE COUNSELING, PLLC
Counselor (Mental Health)
4121 E VALLEY AUTO DR, SUITE 122
MESA, AZ 85206
Maricopa County (602) 410-3406
DAVID T ELLSWORTH D.P.M
Podiatrist (Foot & Ankle Surgery)
4121 E VALLEY AUTO DR, STE 110
MESA, AZ 85206
Maricopa County (480) 892-1540
RACHELLE FITCH MA, BCBA
Behavior Analyst
4121 E VALLEY AUTO DR
MESA, AZ 85206
Maricopa County (480) 471-4173
ASHLEY JIMENEZ SLPA
Specialist/Technologist (Speech-Language Assistant)
4121 E VALLEY AUTO DR
MESA, AZ 85206
Maricopa County (480) 474-4173

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 Advanced Family Healthcare PLLC's NPI number?

The NPI number for Advanced Family Healthcare PLLC is 1801205331. It was assigned to this organization in the NPPES registry on August 8, 2014.

Where is Advanced Family Healthcare PLLC located?

Advanced Family Healthcare PLLC is located at 4121 E Valley Auto Dr Suite # 110, Mesa, AZ 85206. The listed phone number is (480) 892-1122.

What is Advanced Family Healthcare PLLC's specialty?

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

Does Advanced Family Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2083155) is associated with this NPI, valid through August 27, 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 Advanced Family Healthcare PLLC was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.