Organization Active NPI

Bio Clinic PC

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1033643374
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BIO CLINIC PC
Practice address
11468 N Frontage Rd Ste a
Yuma, AZ 85367
Phone
(928) 342-6500
Fax
(928) 342-6863
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Irfan Fazil, MD
Title
President
Phone
(928) 919-2305

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

11468 N Frontage Rd Ste a
Yuma, AZ 85367

Mailing address

PO Box 669
Yuma, AZ 85366-2329
Phone (928) 247-6516

Other practice location 1

2503 S Avenue A Ste 2
Yuma, AZ 85364
Phone (928) 247-6516

Other practice location 2

1962 E Juan Sanchez Blvd Ste C2
San Luis, AZ 85336-0478
Phone (928) 627-4825

Other practice location 3

2503 S Avenue A Ste 2
Yuma, AZ 85364-7174
Phone (928) 247-6516

Other practice location 4

11611 S Foothills Blvd Ste G
Yuma, AZ 85367-5845
Phone (928) 247-9616

Other practice location 5

1453 North Main Street
Suite 3
San Luis, AZ 85349-8534
Phone (928) 315-6801

National Provider Directory

National Provider Directory

Locations

1962 E Juan Sanchez Blvd
Ste C2
San Luis, AZ 85336
Phone (928) 627-4825

11468 N Frontage Rd
Ste A
Yuma, AZ 85367
Phone (928) 342-6500

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1033643374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662329",
            "telephone_number": "928-247-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11468 N FRONTAGE RD STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85367",
            "telephone_number": "928-342-6500",
            "fax_number": "928-342-6863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 S Avenue A Ste 2",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "85364",
            "country_code": "US",
            "telephone_number": "928-247-6516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1962 E Juan Sanchez Blvd Ste C2",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360478",
            "country_code": "US",
            "telephone_number": "928-627-4825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2503 S Avenue A Ste 2",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647174",
            "country_code": "US",
            "telephone_number": "928-247-6516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11611 S Foothills Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853675845",
            "country_code": "US",
            "telephone_number": "928-247-9616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1453 North Main Street",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853498534",
            "country_code": "US",
            "telephone_number": "928-315-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIO CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "FAZIL",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-919-2305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 14, 2021; 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.