Carefirst Wellness Associates of Az LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAREFIRST WELLNESS ASSOCIATES OF AZ LLC

Practice address

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021

Phone

(623) 227-1000

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Hareshkumar Boghara, MD

Title

Owner

Phone

(623) 227-1000

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFEEAD

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1053058172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2286 Crosswood Dr",
            "address_2": "STE C",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "86305",
            "country_code": "US",
            "telephone_number": "928-216-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 S Coronado Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856356357",
            "country_code": "US",
            "telephone_number": "623-227-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2403 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864014188",
            "country_code": "US",
            "telephone_number": "928-208-4598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 S Val Vista Dr Ste C202",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977318",
            "country_code": "US",
            "telephone_number": "877-343-2092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Mesquite Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035771",
            "country_code": "US",
            "telephone_number": "928-208-4598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREFIRST WELLNESS ASSOCIATES OF AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "HARESHKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-227-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.