OrganizationActive
East Valley Infectious Diseases LLC
NPI 1164919056 · Infectious Disease Physician · Casa Grande, AZ
Provider details
- NPI number
- 1164919056
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marilynn Peters, Credeentialer(480) 296-7642
- License
- 48645 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone: (520) 426-6300
Street-level locationGet directions
Mailing address
Po Box 20610
Mesa, AZ 85277-0610
Registry dates
- Enumerated
- 2018-04-17
- Last updated
- 2018-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.