NPIMap

Organization Active NPI

Yuma Physicians Medical Clinic, P.C.

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1154558450
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22887 Issued in AZ
Legal business name
YUMA PHYSICIANS MEDICAL CLINIC, P.C.
Practice address
1079 W 23Rd St
Yuma, AZ 85364-8347
Phone
(928) 782-0218
Fax
(928) 782-1556
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Dr. Roberto Garcia, MD
Title
Member/Manager
Phone
(928) 782-0218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 22887 AZ Primary

Addresses

Primary practice location

1079 W 23Rd St
Yuma, AZ 85364-8347

Mailing address

1079 W 23Rd St
Yuma, AZ 85364-8347
Phone (928) 782-0218

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1154558450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 W 23RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648347",
            "telephone_number": "928-782-0218",
            "fax_number": "928-782-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 W 23RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648347",
            "telephone_number": "928-782-0218",
            "fax_number": "928-782-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA PHYSICIANS MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "928-782-0218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22887",
            "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 Jun 15, 2009; 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.