Healthcare Provider Details

I. General information

NPI: 1003764689
Provider Name (Legal Business Name): CEIVARA HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15333 NORTH PIMA ROAD SUITE 305-16976358
SCOTTSDALE AZ
85260-2783
US

IV. Provider business mailing address

15333 NORTH PIMA ROAD SUITE 305-16976358
SCOTTSDALE AZ
85260-2783
US

V. Phone/Fax

Practice location:
  • Phone: 401-742-7150
  • Fax:
Mailing address:
  • Phone: 480-992-3274
  • Fax: 480-992-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN NAVARRO
Title or Position: PHYSICIAN ASSISTANT/MANAGING MEMBER
Credential: PA-C
Phone: 480-992-3274