Country Club Medical Group P C
NPI 1649256777 · Family Medicine Physician · Mesa, AZ
Country Club Medical Group P C is a Family Medicine Physician organization in Mesa, AZ (NPI 1649256777).
Provider details
- NPI number
- 1649256777
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Silvia O'Leary, Office Manager(480) 969-1446
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Southeast Valley Medical Group
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2010-06-22
Frequently asked questions
- What is Country Club Medical Group P C's NPI number?
- Country Club Medical Group P C's National Provider Identifier (NPI) is 1649256777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club Medical Group P C?
- Country Club Medical Group P C is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Country Club Medical Group P C located?
- Country Club Medical Group P C's practice location on file with NPPES is 1950 S Country Club Dr, Mesa, AZ 85210-6008.
- What is Country Club Medical Group P C's phone number?
- The practice phone number listed in the NPPES registry for Country Club Medical Group P C is (480) 969-1446.
- Who is the authorized official for Country Club Medical Group P C?
- The authorized official listed on Country Club Medical Group P C's NPPES record is Silvia O'Leary, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club Medical Group P C's NPI active?
- Yes — Country Club Medical Group P C's NPI (1649256777) is active in the NPPES registry as of the last update on 2010-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.