Organization Active NPI

Family Wellcare Corp

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1265751911
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY WELLCARE CORP
Practice address
9420 E Golf Links Rd
#306
Tucson, AZ 85730-1355
Phone
(520) 867-8278
NPI assigned
May 20, 2010
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Luis Medina
Title
President
Phone
(520) 867-8278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9420 E Golf Links Rd
#306
Tucson, AZ 85730-1355

Mailing address

9420 E Golf Links Rd
#306
Tucson, AZ 85730-1355
Phone (520) 867-8278

National Provider Directory

National Provider Directory

Locations

9420 E Golf Links Rd
#306
Tucson, AZ 85730
Phone (520) 867-8278

9420 E Golf Links Rd
Ste 306
Tucson, AZ 85730
Phone (520) 867-8278

Practitioners & affiliated clinicians

Practitioners 1

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": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1265751911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINKS RD",
            "address_2": "#306",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301355",
            "telephone_number": "520-867-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINKS RD",
            "address_2": "#306",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301355",
            "telephone_number": "520-867-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-867-8278"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.