NPIMap

Organization Active NPI

Whole Health Primary Care LLC

  • Family Medicine Physician
  • Laveen, AZ
National Provider Identifier
1093328767
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHOLE HEALTH PRIMARY CARE LLC
Practice address
7113 W Sophie LN
Laveen, AZ 85339-3475
Phone
(619) 600-9353
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Dr. Octavia Terese Garcia, FNPNPI 1457967812
Title
Owner/Ceo
Phone
(619) 600-9353

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7113 W Sophie LN
Laveen, AZ 85339-3475

Mailing address

7113 W Sophie LN
Laveen, AZ 85339-3475
Phone (619) 600-9353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1093328767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 W SOPHIE LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393475",
            "telephone_number": "619-600-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 W SOPHIE LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393475",
            "telephone_number": "619-600-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "TERESE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "619-600-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.