Active NPI
Family Wellcare Corp
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1265751911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2010
- 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
- Luis Medina
- Title
- President
- Phone
- (520) 867-8278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Nogales, AZ
- NPI 1912994500
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.