El Con Health & Wellness Center LLC

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN068985 Issued in AZ

Legal business name

EL CON HEALTH & WELLNESS CENTER LLC

Practice address

3402 E Broadway Blvd
Tucson, AZ 85716-5406

Phone

(520) 318-5515

Fax

(520) 318-5518

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Mena Latkas

Title

Owner

Phone

(520) 990-8383

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Chorebanian, MD

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1003860842
  Medicare reassignment NPD
• Lizbeth Guerrero

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1700290392
  Medicare reassignment NPD
• Dawson Krain Lopez, WHNP-BC, A-GPCNP-C

  • Adult Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1740657923
  Medicare reassignment NPD
• Caitlyn Schull

  • Registered Dietitian
  • Tucson, AZ
  • NPI 1780061853

  Dietitian, Registered

  Medicare reassignment NPD
• Andrew S. Tedesco, M.D.

  • Procedural Dermatology Physician
  • Tucson, AZ
  • NPI 1235128851
  NPD
• Alicia H. Miller, N.D.

  • Naturopath
  • Tucson, AZ
  • NPI 1467773218
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1255714010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 E PLACITA MESETA DORADA",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857558683",
            "telephone_number": "520-990-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165406",
            "telephone_number": "520-318-5515",
            "fax_number": "520-318-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CON HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "LATKAS",
        "authorized_official_first_name": "MENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-990-8383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86009009",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN068985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kratzer Eklund, M.D.
• Padmavati Rajdatta Eksambe, M.D
• Linda J Ekstrum, LPC
• Diana Ekwunife, RN
• Jad El Bulbul, MD
• El Dorado Audiology
• El Dorado Hearing, LLC
• El Dorado Hospital
• El Dorado Hospital
• El Dorado Hospital

• Obstetrics & Gynecology Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Obstetrics & Gynecology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.