Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kachina Family Practice PA

Organization Family Medicine Physician · NPI 1467508432

Kachina Family Practice PA is a Family Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16611 S 40th St Ste 120
Phoenix, AZ 85048
Phone: (480) 706-4100
Fax: (480) 706-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1467508432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaron Fischbeck — President · (480) 706-4100
Other names Kachina Family Medicine
NPI enumeratedJanuary 25, 2007
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020
Mailing address16611 S 40th St, Suite 120, Phoenix, AZ 85048

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