NPIMap

Organization Active NPI

Desert Healthcare Services LLC

  • Clinic/Center
  • Yuma, AZ
National Provider Identifier
1013034776
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OTC 1175 Issued in AZ
Legal business name
DESERT HEALTHCARE SERVICES LLC
Practice address
284 W 32ND St
Yuma, AZ 85364-8152
Phone
(928) 341-4563
Fax
(928) 344-2055
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mallappa Neelappa, M.D.NPI 1861455818
Title
President Ceo
Phone
(928) 345-6860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OTC 1175 AZ Primary

Addresses

Primary practice location

284 W 32ND St
Yuma, AZ 85364-8152

Mailing address

PO Box 6229
Yuma, AZ 85366-2510
Phone (928) 345-6860

Other names 1

  • PRIMECARE CENTRAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11279 S Glenwood Ave
Yuma, AZ 85367
Phone (928) 345-6830

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1013034776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6229",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662510",
            "telephone_number": "928-345-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 W 32ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648152",
            "telephone_number": "928-341-4563",
            "fax_number": "928-344-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "NEELAPPA",
        "authorized_official_first_name": "MALLAPPA",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "928-345-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC 1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMECARE CENTRAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIMECARE CENTRAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.