Individual provider Active NPI

Mazhar Bajwa

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1306228523
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN71876NP Issued in WV
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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Inc 37 clinicians
Sunset Community Health Center Inc 28 clinicians

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 Hospital, Yuma, AZ, CCN 030013

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
APRN71876NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Family Clinic Inc Family CurrentSince Sep 19, 2015 Accepting new patients
Sunset Community Health Center Inc CurrentSince Aug 27, 2018 Accepting new patients
Sunset Community Health Center Inc CurrentSince Aug 27, 2018 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

  • Direct secure messaging: mazhar.bajwa.p1@direct.sunset.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN71876NP WV Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.