MOUNTAIN VISTA MEDICAL GROUP PLLC (NPI# 1336500198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336500198 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VISTA MEDICAL GROUP PLLC |
| Other Organization Name | RALPH A D'SILVA |
| Practice Address |
10238 E Hampton Ave Suite 205 Mesa AZ 85209 |
| Mailing Address |
10238 E Hampton Ave Suite 205 Mesa AZ 85209-3316 |
| Practice Telephone | 4809845600 |
| Practice Fax Number | 4809843852 |
| Mailing Telephone | 4809845600 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | DR. RALPH A D'SILV (OWNER) |
| Authorized Official Telephone | 4805289698 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 36884 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 224192 | 05 |
| Other Name | Type Code |
|---|---|
| RALPH A D'SILVA | Doing Business As Name - Organization |
| Street Address |
10238 E HAMPTON AVE SUITE 205 |
| City | MESA |
| State | AZ |
| Zip Code | 85209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494551 | Santina Carminati Taddei | Internal Medicine | 10238 E Hampton Ave, Suite 305, Mesa, AZ 85209-3316 | 2005-08-11 |
| 1932749546 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10238 E Hampton Ave, Suite 301-a, Mesa, AZ 85209-3322 | 2020-01-11 |
| 1154874790 | Carissa Noriega | Nurse Practitioner | 10238 E Hampton Ave, #507, Mesa, AZ 85209-3316 | 2016-08-01 |
| 1750789079 | Jasmine Turner | Nurse Practitioner | 10238 E Hampton Ave, 508, Mesa, AZ 85209-3316 | 2014-12-18 |
| 1881012144 | Arizona Hospital Specialists, Pllc | Family Medicine | 10238 E Hampton Ave, 205, Mesa, AZ 85209-3316 | 2014-04-03 |
| 1033543749 | Akdhc, LLC | Internal Medicine | 10238 E Hampton Ave, Suite 504, Mesa, AZ 85209-3316 | 2013-08-29 |
| 1134473838 | East Valley Medical Group, Inc. | General Practice | 10238 E Hampton Ave, Suite 212, Mesa, AZ 85209-3316 | 2012-11-01 |
| 1164775698 | Arizona Gastro Care | Internal Medicine | 10238 E Hampton Ave, #305, Mesa, AZ 85209-3316 | 2012-10-22 |
| 1265716344 | Jaclyn Bacon | Nurse Practitioner | 10238 E Hampton Ave, Suite 202, Mesa, AZ 85209-3316 | 2011-10-06 |
| 1477872786 | Michelle Leigh Pande | Nurse Practitioner | 10238 E Hampton Ave, Suite 202, Mesa, AZ 85209-3316 | 2010-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1942810833 | Modern Sports Medicine LLC | Specialist | 6242 E Arbor Ave Unit 1, Mesa, AZ 85206-1309 | 2020-08-05 |
| 1366920910 | Haleys Designer Wigs | Specialist | 6017 E Mckellips Rd Ste 109, Mesa, AZ 85215-2824 | 2018-08-04 |
| 1831604990 | Shanna Kay Parker | Specialist | 1055 W Baseline Rd Apt 1049, Mesa, AZ 85210-9504 | 2017-12-11 |
| 1558884866 | Affiliated Pro Monitoring, LLC | Specialist | 6424 E Broadway Rd Ste 120, Mesa, AZ 85206-1750 | 2017-07-18 |
| 1861863011 | Christina Wright | Specialist | 11033 E Abilene Ave, Mesa, AZ 85208-8645 | 2015-10-14 |
| 1821465584 | Arizona Medical Associates Inc | Specialist | 1301 South Rismon Road, Mesa, AZ 85209-3767 | 2015-08-28 |
| 1174926794 | Breast Ink Plc | Specialist | 2321 S Alta Vista Cir, Mesa, AZ 85202-6474 | 2014-09-28 |
| 1780957985 | Clear Choice Physicians, LLC | Specialist | 6328 E Brown Rd Ste 106, Mesa, AZ 85205-4841 | 2012-02-17 |
| 1538445812 | Modocurogyn, Pllc | Specialist | 6632 E. Baseline Rd, Ste 101, Mesa, AZ 85206 | 2011-10-31 |
| 1508140005 | Janice A Spears | Specialist | 1840 W Emelita Ave, #1144, Mesa, AZ 85202-4035 | 2011-10-03 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.