KACHINA FAMILY MEDICINE – NPI #1467508432
Family Medicine

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.

KACHINA FAMILY MEDICINE is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1467508432 to KACHINA FAMILY MEDICINE on January 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KACHINA FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is KACHINA FAMILY PRACTICE PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Apr 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KACHINA FAMILY MEDICINE below.

NPI Profile for
KACHINA FAMILY PRACTICE PA

NPI Number
1467508432
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KACHINA FAMILY PRACTICE PA
Doing Business As (dba): KACHINA FAMILY MEDICINE
Primary location
16611 S 40TH ST
SUITE 120
PHOENIX, AZ 85048
Phone: (480) 706-4100 Fax: (480) 706-2600
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JARON FISCHBECK
PRESIDENT
Phone: (480) 706-4100
Updated
Certification Date
Apr 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
none
Endpoint type
Other URL
Endpoint Description
NONE
Content Type
OTHER
Affiliation
N
Endpoint Location
16611 S 40TH ST,
PHOENIX, AZ 77025-1669