Healthcare Provider Details

I. General information

NPI: 1659487833
Provider Name (Legal Business Name): CENTRAL ARIZONA MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3638 E SOUTHERN AVE STE C 108
MESA AZ
85206-2563
US

IV. Provider business mailing address

3638 E SOUTHERN AVE STE C 108
MESA AZ
85206-2563
US

V. Phone/Fax

Practice location:
  • Phone: 480-834-0771
  • Fax: 480-834-1136
Mailing address:
  • Phone: 480-834-0771
  • Fax: 480-834-1136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERANA K CROSSMAN
Title or Position: BILLING MANAGER
Credential: CPC
Phone: 480-834-0771