Organization Active NPI

Yuri a Talalaev

  • Primary Care Clinic/Center
  • Green Valley, AZ
National Provider Identifier
1174766778
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
28484 Issued in AZ
Legal business name
YURI A TALALAEV
Practice address
450 W Continental Rd
Green Valley, AZ 85614-3551
Phone
(520) 393-0898
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Dr. Yuri TalalaevNPI 1548372089
Title
Doctor
Phone
(520) 393-0898

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
Primary Care Clinic/Center 261QP2300X 28484 AZ Primary

Addresses

Primary practice location

450 W Continental Rd
Green Valley, AZ 85614-3551

Mailing address

450 W Continental Rd
Green Valley, AZ 85614-3551
Phone (520) 393-0898

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": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1174766778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W CONTINENTAL RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143551",
            "telephone_number": "520-393-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W CONTINENTAL RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143551",
            "telephone_number": "520-393-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURI A TALALAEV",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "TALALAEV",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "520-393-0898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "28484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.