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INNOVATIVE FAMILY HEALTH PRACTICES LLC
NPI 1942866017
Family Medicine in Mesa, AZ

Active since May 14, 2019
4135 S POWER RD STE 120, MESA, AZ 85212(480) 892-7000(480) 545-7001 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2020, Dec 4, 2019, May 14, 2019 (3 updates tracked since 2019).

About Innovative Family Health Practices Llc NPPES

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

INNOVATIVE FAMILY HEALTH PRACTICES LLC (NPI 1942866017) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since May 2019. The organization lists Renee De Jesus, Owner, as its authorized official.

NPPES Registry Identity

NPI1942866017
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVATIVE FAMILY HEALTH PRACTICES LLC
Location Address4135 S POWER RD STE 120Mesa, AZ 85212-3626
Mailing Address4135 S Power Rd Ste 120Mesa, AZ 85212-3626 · (480) 892-7000 · Fax (480) 545-7001
Phone(480) 892-7000
Fax(480) 545-7001
Organization SubpartNo
Authorized OfficialRenee De JesusOwner · (480) 892-7000
Enumeration DateMay 14, 2019
Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration
✔ NPI 1942866017 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.
4135 S POWER RD STE 120, 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 3

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

GARY MILTON RANDALL D.O.
Family Medicine
4135 S POWER RD STE 120
MESA, AZ 85212
Maricopa County (480) 892-7000
DEVIN JAMES WELKER FNP-C
Nurse Practitioner (Family)
4135 S POWER RD STE 120
MESA, AZ 85212
Maricopa County (480) 892-7000
WILLIAM WAGNER MD PC
Psychiatry & Neurology (Neurology)
4135 S POWER RD STE 120
MESA, AZ 85212
Maricopa County (330) 929-2580

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 Innovative Family Health Practices LLC's NPI number?

The NPI number for Innovative Family Health Practices LLC is 1942866017. It was assigned to this organization in the NPPES registry on May 14, 2019.

Where is Innovative Family Health Practices LLC located?

Innovative Family Health Practices LLC is located at 4135 S Power Rd Ste 120, Mesa, AZ 85212. The listed phone number is (480) 892-7000.

What is Innovative Family Health Practices 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 Innovative Family Health Practices LLC was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.