AVONDALE MEDICAL CENTER – NPI #1659415206
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.

AVONDALE MEDICAL CENTER is a provider located in AVONDALE, AZ. NPPES has assigned the NPI number 1659415206 to AVONDALE MEDICAL CENTER on February 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVONDALE MEDICAL CENTER” is a dba name, the actual legal business name for this organization is SANJIVAN PLLC. 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 5 years ago on Feb 26, 2021. 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 AVONDALE MEDICAL CENTER below.

NPI Profile for
SANJIVAN PLLC

NPI Number
1659415206
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
SANJIVAN PLLC
Doing Business As (dba): AVONDALE MEDICAL CENTER
Primary location
501 W VAN BUREN ST STE T
AVONDALE, AZ 85323
Phone: (623) 932-9905 Fax: (623) 932-6901
1 Other location(s):
15833 Clubhouse Dr
Goodyear, AZ 85395-6494
Phone: (623) 932-9905
Fax: (623) 932-6901
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER TAFOYA
OFFICE MANAGER
Phone: (623) 932-9905
Updated
Certification Date
Feb 26, 2021

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.

Identifiers

Identifiers for AVONDALE MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ894099
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)
AZ 33419

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.