Organization Active NPI

My Kare Clinic, PLLC

  • Family Medicine Physician
  • Prescott Valley, AZ
National Provider Identifier
1245455906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35174 Issued in AZ
Legal business name
MY KARE CLINIC, PLLC
Practice address
7880 E Florentine Rd
Prescott Valley, AZ 86314-2216
Phone
(928) 772-9977
Fax
(928) 772-9966
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fabio Vasquez, M.D.
Title
Owner
Phone
(928) 772-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35174 AZ Primary

Addresses

Primary practice location

7880 E Florentine Rd
Prescott Valley, AZ 86314-2216

Mailing address

7880 E Florentine Rd
Prescott Valley, AZ 86314-2216
Phone (928) 772-9977

National Provider Directory

National Provider Directory

Locations

7880 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 772-9977

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245455906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142216",
            "telephone_number": "928-772-9977",
            "fax_number": "928-772-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142216",
            "telephone_number": "928-772-9977",
            "fax_number": "928-772-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "FABIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-772-9977",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "35174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.