Primecare Mobile LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMECARE MOBILE LLC

Practice address

1401 21St St # 5512
Sacramento, CA 95811-5226

Phone

(623) 399-2513

NPI assigned

Jan 23, 2025

Last updated

Jan 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Tuanqui Castillo, FNP-BC,FNP-CNPI 1467274910

Title

Owner

Phone

(623) 399-2513

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Joseph Tuanqui Castillo, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1467274910

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1326850769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 21ST ST # 5512",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "623-399-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 21ST ST # 5512",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "623-399-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TUANQUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-399-2513",
        "authorized_official_credential": "FNP-BC,FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regino Prieto
• Primary Care Family Medical Clinic Inc.
• Primary Care Phcy (Sacramento County Health Department)
• Dmitri Primavera
• Primecare Medical Solutions LLC
• Primecare Transport LLC
• Primepath Physical Therapy, PC
• Primestaff Health
• Primetime Home Care Inc
• Primetime Home Health Agency Inc

• Primary Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.