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EAST VALLEY PRIMARY CARE, LLC
NPI 1811280530
Family Medicine in Mesa, AZ

Active since May 27, 2011
3035 S ELLSWORTH RD STE 103, MESA, AZ 85212(480) 736-1777(480) 736-1144 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Valley Primary Care, Llc NPPES

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

EAST VALLEY PRIMARY CARE, LLC (NPI 1811280530) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since May 2011. The organization lists Stacia B Kagie, Physician, as its authorized official.

NPPES Registry Identity

NPI1811280530
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST VALLEY PRIMARY CARE, LLC
Location Address3035 S ELLSWORTH RD STE 103Mesa, AZ 85212-2136
Mailing Address3035 S Ellsworth Rd Ste 103Mesa, AZ 85212-2136 · (480) 736-1777 · Fax (480) 736-1144
Phone(480) 736-1777
Fax(480) 736-1144
Organization SubpartNo
Authorized OfficialStacia B KagiePhysician · (480) 736-1777
Enumeration DateMay 27, 2011
✔ NPI 1811280530 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.
3035 S ELLSWORTH RD STE 103, Mesa, AZ 85212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CASSEA MARIE HERSCHEBERG NUTRITIONIST
Nutritionist (Nutrition, Education)
3035 S ELLSWORTH RD STE 103
MESA, AZ 85212
Maricopa County (480) 736-1777

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 East Valley Primary Care, LLC's NPI number?

The NPI number for East Valley Primary Care, LLC is 1811280530. It was assigned to this organization in the NPPES registry on May 27, 2011.

Where is East Valley Primary Care, LLC located?

East Valley Primary Care, LLC is located at 3035 S Ellsworth Rd Ste 103, Mesa, AZ 85212. The listed phone number is (480) 736-1777.

What is East Valley Primary Care, 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 East Valley Primary Care, LLC was last updated on May 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.