Canyon Family Medicine PLLC
NPI 1780349902 · Family Medicine Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Family Medicine PLLC is a Family Medicine Physician organization in Mesa, AZ (NPI 1780349902).
Provider details
- NPI number
- 1780349902
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Hafez, Founder(602) 805-4914
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- Canyon Family Medicine
- Doing business as
- Canyon Family Medicine
Registry dates
- Enumerated
- 2021-11-02
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is Canyon Family Medicine PLLC's NPI number?
- Canyon Family Medicine PLLC's National Provider Identifier (NPI) is 1780349902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Family Medicine PLLC?
- Canyon Family Medicine PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Canyon Family Medicine PLLC located?
- Canyon Family Medicine PLLC's practice location on file with NPPES is 6242 E Arbor Ave Ste 118, Mesa, AZ 85206-1309.
- What is Canyon Family Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Family Medicine PLLC is (602) 805-4914.
- Does Canyon Family Medicine PLLC accept Medicare?
- Canyon Family Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canyon Family Medicine PLLC?
- The authorized official listed on Canyon Family Medicine PLLC's NPPES record is Laura Hafez, Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Family Medicine PLLC's NPI active?
- Yes — Canyon Family Medicine PLLC's NPI (1780349902) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.