Organization Active NPI

Desert Healthcare Services LLC

Doing business as Primecare Foothills

  • Clinic/Center
  • Yuma, AZ
National Provider Identifier
1215054309
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DESERT HEALTHCARE SERVICES LLC
Doing business as
Primecare Foothills
Practice address
11279 S Glenwood Ave
Yuma, AZ 85367-5885
Phone
(928) 345-6830
Fax
(928) 345-6837
NPI assigned
Mar 23, 2007
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. Mallappa Neelappa, MDNPI 1861455818
Title
President Ceo
Phone
(928) 345-6860

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

11279 S Glenwood Ave
Yuma, AZ 85367-5885

Mailing address

PO Box 6229
Yuma, AZ 85366-2510
Phone (928) 345-6860

Other names 1

  • PRIMECARE FOOTHILLS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001207 AZ Part B Supplier - Clinic/Group Practice 7113910357 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuma, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1043155Primecare Foothills11279 S Glenwood Ave, Yuma, AZ 85367Provider-performed microscopyJul 17, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11279 S Glenwood Ave
Yuma, AZ 85367
Phone (928) 341-4563

284 W 32nd St
Yuma, AZ 85364
Phone (928) 341-4563

Practitioners & affiliated clinicians

Practitioners 7

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1215054309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6229",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662510",
            "telephone_number": "928-345-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11279 S GLENWOOD AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853675885",
            "telephone_number": "928-345-6830",
            "fax_number": "928-345-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "NEELAPPA",
        "authorized_official_first_name": "MALLAPPA",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "928-345-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMECARE FOOTHILLS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIMECARE FOOTHILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.