Organization Active NPI

The Complete Human Care PLLC

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1124731278
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE COMPLETE HUMAN CARE PLLC
Practice address
29751 N El Mirage Rd Unit 105
Peoria, AZ 85383-6803
Phone
(510) 529-7768
NPI assigned
Jan 4, 2023
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Michell Huynh
Title
Director of Business Operations
Phone
(510) 239-6698

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

29751 N El Mirage Rd Unit 105
Peoria, AZ 85383-6803

Mailing address

29751 N El Mirage Rd Unit 105
PMB 131
Peoria, AZ 85383
Phone (510) 529-7768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230227000689 AZ Part B Supplier - Clinic/Group Practice 6204209026 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20250108004165 GA Part B Supplier - Clinic/Group Practice 6204209026 Receives reassigned benefits from 1 practitioner
Practice locations: Pelham, GA

National Provider Directory

National Provider Directory

Locations

211 E Sheldon St
Prescott, AZ 86301
Phone (928) 717-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1124731278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29751 N EL MIRAGE RD UNIT 105",
            "address_2": "PMB 131",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85383",
            "telephone_number": "510-529-7768",
            "fax_number": "302-400-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29751 N EL MIRAGE RD UNIT 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836803",
            "telephone_number": "510-529-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMPLETE HUMAN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "MICHELL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "510-239-6698"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.