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

Mott Haven Medical Center Inc

Organization Family Medicine Physician · NPI 1194448498

Mott Haven Medical Center Inc is a Family Medicine Physician in Casa Grande, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2076 E Piedmont Pl
Casa Grande, AZ 85122-6812
Phone: (716) 400-9169
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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
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1194448498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zacaria Olivero — Ceo · (716) 400-9169
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address2076 E Piedmont Pl, Casa Grande, AZ 85122-6812

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