GAIA VIRTUAL MEDICINE. LLC – NPI #1730800475
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.

GAIA VIRTUAL MEDICINE. LLC is a provider located in GLENDALE, AZ. NPPES has assigned the NPI number 1730800475 to GAIA VIRTUAL MEDICINE. LLC on September 12, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on May 20, 2025. 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 GAIA VIRTUAL MEDICINE. LLC below.

NPI Profile for
GAIA VIRTUAL MEDICINE. LLC

NPI Number
1730800475
Enumeration Date

(about 4 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
GAIA VIRTUAL MEDICINE. LLC
Primary location
4494 W PEORIA AVE #115A
SUITE 8
GLENDALE, AZ 85302
Phone: (602) 626-4473 Fax:
Mailing address
28913 N 23RD DR
PHOENIX, AZ 85085-0715
Phone: (602) 626-4473 Fax:
Organization Subpart
No
Authorized Official
KEQIANG SHEN
CEO
Phone: (480) 876-4013
Updated
Certification Date
May 20, 2025

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)
253Z00000X
- In Home Supportive Care
103T00000X
- Psychologist

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.