| NPI | 1063758779 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-12-27 |
| Last Updated | 2025-08-11 |
| Authorized Official | Claude Fosdick Physician Phone: 5204261400 |
| Mailing Address | 301 E Cottonwood Ln Ste 2 Casa Grande, AZ 85122-2551 United States Phone: (520) 426-1400 | Fax: (520) 426-1268 📍 View Map |
| Primary Practice Address | 301 E Cottonwood Ln Ste 2 Casa Grande, AZ 85122-2551 United States Phone: (520) 426-1400 | Fax: (520) 426-1268 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261Q00000X – Clinic/Center | AZ | 13210 |
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About NPI 1063758779
Center For Family Medicine Mdpc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063758779. The primary specialty listed is Clinic/Center. The organization is located in Casa Grande, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-12-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063758779?
NPI 1063758779 belongs to Center For Family Medicine Mdpc, a Clinic/Center in Casa Grande, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063758779 active?
The current status of NPI 1063758779 in the NPPES registry is Active. The record was last updated on 2025-08-11.
What specialty is NPI 1063758779?
NPI 1063758779 is classified under the taxonomy Clinic/Center. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063758779?
You can verify NPI 1063758779 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063758779?
The primary practice address on file for NPI 1063758779 is 301 E Cottonwood Ln Ste 2, Casa Grande, AZ 85122-2551. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063758779 issued?
NPI 1063758779 was first issued (enumerated) on 2012-12-27. The NPPES record was last updated on 2025-08-11.
Practice Location Map
Center For Family Medicine Mdpc is located at 301 E Cottonwood Ln Ste 2, Casa Grande, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Center For Family Medicine Mdpc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063758779. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center | 13210 | AZ |