Active NPI
Desert Healthcare Services LLC
Doing business as Primecare Foothills
- Clinic/Center
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mallappa Neelappa, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1043155 | Primecare Foothills | Provider-performed microscopy | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Onvida Health Yuma Medical Center
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
Member Of
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.
-
- Pulmonary Disease Physician
- Yuma, AZ
- NPI 1861455818
-
- Family Nurse Practitioner
- Yuma, AZ
- NPI 1902407091
-
- Family Nurse Practitioner
- Yuma, AZ
- NPI 1295347946
-
- Family Nurse Practitioner
- Yuma, AZ
- NPI 1548952922
-
- Family Nurse Practitioner
- Yuma, AZ
- NPI 1215488499
-
- Primary Care Nurse Practitioner
- Yuma, AZ
- NPI 1629536859
-
- Family Medicine Physician
- Cozad, NE
- NPI 1770963902
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
- Desert Care Associates PLLC
- Desert Counseling & Recovery Services
- Desert Dermatology of Yuma Inc
- Desert Health Mobility Plus
- Desert Healthcare Services LLC (Primecare Central Clinic)
- Desert Healthcare Services LLC (Primecare)
- Desert Hill Kidney Health PLLC
- Desert Horizon Medical Specialists, PLLC
- Desert Sage Medical Clinic
- Desert Sedation Services LLC
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.