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

Elizabeth Kathleen Fox-Mtandika

Individual provider Family Medicine Physician · NPI 1205397288

Elizabeth Kathleen Fox-Mtandika is a Family Practice in San Tan Valley, Arizona. Graduated from College of Osteo Med of the Pacific at Pomona in 2019, 7 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

37100 N Gantzel Rd Ste 201
San Tan Valley, AZ 85140-7352
Phone: (480) 394-4469
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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 · Licence 009452 (AZ)

Record details

NPI number1205397288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2019
Last updated in NPPESFebruary 20, 2023
Certification dateJuly 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 2019 (7 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Tan Valley