NPIMap

Organization Active NPI

Yavapai Regional Medical Center Physician Care LLC

Doing business as Yavapai Regional Medical Center Physician Care

  • Family Medicine Physician
  • Prescott Valley, AZ
National Provider Identifier
1043449887
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34238 Issued in AZ
Legal business name
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
Doing business as
Yavapai Regional Medical Center Physician Care
Practice address
7700 E Florentine Rd BLDG B
Suite A101
Prescott Valley, AZ 86314-2245
Phone
(928) 442-8710
Fax
(928) 442-8742
NPI assigned
Jul 14, 2009
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Mr. Matt Rice
Title
Cfo
Phone
(928) 445-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34238 AZ Primary

Addresses

Primary practice location

7700 E Florentine Rd BLDG B
Suite A101
Prescott Valley, AZ 86314-2245

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786

Other identifiers 2

IdentifierTypeStateIssuer
459138MedicaidAZ
Z126775OtherAZMEDICARE PTAN

Other names 2

  • Yavapai Regional Medical Center Physician Care Doing business as
  • Dignity Health Yavapai Regional Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000798 AZ Part B Supplier - Clinic/Group Practice 5294898987 Receives reassigned benefits from 151 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prescott, AZ; Prescott Valley, AZ; Bagdad, AZ; Chino Valley, AZ

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3198 N Windsong Dr
Ste B
Prescott Valley, AZ 86314
Phone (928) 772-8217

3262 N Windsong Dr
Ste B
Prescott Valley, AZ 86314
Phone (928) 708-4545

7712 E Florentine Rd
Ste 105
Prescott Valley, AZ 86314

7712 E Florentine Rd
Ste A101
Prescott Valley, AZ 86314

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1043449887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E FLORENTINE RD BLDG B",
            "address_2": "SUITE A101",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142245",
            "telephone_number": "928-442-8710",
            "fax_number": "928-442-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "928-445-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459138",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z126775",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yavapai Regional Medical Center Physician Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dignity Health Yavapai Regional Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.