Active NPI
Icare Clinics
- Internal Medicine Physician
- Kingman, AZ
National Provider Identifier
1053063271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ICARE CLINICS
- Practice address
- 3555 Western Ave
Kingman, AZ 86409-3291 - Phone
- (928) 757-8440
- Fax
- (928) 757-8448
- NPI assigned
- Jan 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zaffar Iqbal, MD
- Title
- Owner
- Phone
- (928) 550-0062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3555 Western Ave
Kingman, AZ 86409-3291
Mailing address
3555 Western Ave
Kingman, AZ 86409-3291
Phone (928) 757-8440
Other names 1
- Vital Health & Wellness Clinics
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://static.practicefusion.com/ | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1053063271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 WESTERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093291",
"telephone_number": "928-757-8440",
"fax_number": "928-757-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 WESTERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093291",
"telephone_number": "928-757-8440",
"fax_number": "928-757-8448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-19",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "IQBAL",
"authorized_official_first_name": "ZAFFAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-550-0062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://static.practicefusion.com/",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3555 Western Ave",
"city": "Kingman",
"state": "AZ",
"country_code": "US",
"postal_code": "864093291",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Vital Health & Wellness Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.