Organization Active NPI

Excellence Healthcare Management Inc

  • Voluntary or Charitable Agency
  • Yuma, AZ
National Provider Identifier
1104283746
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
EXCELLENCE HEALTHCARE MANAGEMENT INC
Practice address
291 S Main St
Suite G2
Yuma, AZ 85364-1414
Phone
(909) 801-1424
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Wilbur Abalos Pulido, DBANPI 1669845004
Title
Chairman
Phone
(909) 801-1424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

291 S Main St
Suite G2
Yuma, AZ 85364-1414

Mailing address

291 S Main St
Suite G2
Yuma, AZ 85364-1414
Phone (909) 801-1424

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1104283746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S MAIN ST",
            "address_2": "SUITE G2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641414",
            "telephone_number": "909-801-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S MAIN ST",
            "address_2": "SUITE G2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641414",
            "telephone_number": "909-801-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE HEALTHCARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "ABALOS",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "909-801-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 27, 2016; 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.