Active NPI
Mazhar Bajwa
- Family Nurse Practitioner
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN71876NP
- Practice address
- 11468 N Frontage Rd
Ste a
Yuma, AZ 85367-8970 - Phone
- (928) 342-6500
- Fax
- (928) 342-6863
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Yuma, AZ
- NPI 1821387051
-
- Federally Qualified Health Center (FQHC)
- Somerton, AZ
- NPI 1962507376
-
- Federally Qualified Health Center (FQHC)
- Yuma, AZ
- NPI 1063433720
-
- Federally Qualified Health Center (FQHC)
- San Luis, AZ
- NPI 1043324932
-
- Federally Qualified Health Center (FQHC)
- Wellton, AZ
- NPI 1245344316
-
- Federally Qualified Health Center (FQHC)
- Yuma, AZ
- NPI 1366812166
-
- Federally Qualified Health Center (FQHC)
- Yuma, AZ
- NPI 1780401380
-
- Pediatrics Physician
- Yuma, AZ
- NPI 1245663996
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bio Family Clinic IncSunset Community Health Center Inc
Practice addresses (Care Compare)
11518 N Frontage Rd
Yuma, AZ 85367-8994
Phone (928) 342-6500
2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 344-4216
Hospital & facility affiliations
- Yuma Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151106000398 | AZ | Practitioner - Nurse Practitioner | 2668782434 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN71876NP | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio Family Clinic Inc | Family | Current | Accepting new patients |
| Sunset Community Health Center Inc | Current | Accepting new patients | |
| Sunset Community Health Center Inc | Current | Accepting new patients | |
| Sunset Community Health Center Inc | Current | Accepting new patients | |
| Sunset Community Health Center | Past | Accepting new patients |
Locations
11518 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500
11468 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500
11611 S Foothills Blvd
Ste G
Yuma, AZ 85367
Phone (520) 476-3503
675 S Avenue B
Yuma, AZ 85364
Phone (928) 539-3140
11468 N Frontage Rd
Ste A
Yuma, AZ 85367
Phone (928) 342-6500
2503 S Avenue A
Ste 2
Yuma, AZ 85364
Phone (928) 344-3350
2060 W 24th St
Yuma, AZ 85364
Phone (928) 344-4216
Interoperability endpoints
- mazhar.bajwa.p1@direct.sunset.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN71876NP | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11468 N Frontage Rd
Ste a
Yuma, AZ 85367-8970
Mailing address
PO Box 669
Yuma, AZ 85366-2329
Phone (928) 919-2305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2015.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1306228523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"city": "YUMA",
"state": "AZ",
"postal_code": "853662329",
"telephone_number": "928-919-2305",
"fax_number": "928-276-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11468 N FRONTAGE RD",
"address_2": "STE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853678970",
"telephone_number": "928-342-6500",
"fax_number": "928-342-6863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJWA",
"first_name": "MAZHAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN71876NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.