NPIMap

Organization Active NPI

P3 Health Partners Professional Services PC

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1356817332
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
P3 HEALTH PARTNERS PROFESSIONAL SERVICES PC
Practice address
5255 E Williams Cir Ste 2020
Tucson, AZ 85711-7454
Phone
(520) 392-8400
Fax
(520) 393-3244
NPI assigned
Oct 17, 2018
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Amir Bacchus, MDNPI 1619925476
Title
Cmo
Phone
(702) 910-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
General Practice Physician 208D00000X

Addresses

Primary practice location

5255 E Williams Cir Ste 2020
Tucson, AZ 85711-7454

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 780-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181214003039 AZ Part B Supplier - Clinic/Group Practice 3375888647 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

300 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-9111

5255 E Williams Cir
Ste 2020
Tucson, AZ 85711
Phone (520) 392-8400

5255 E Williams Cir
Ste 3000
Tucson, AZ 85711
Phone (520) 392-8400

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1356817332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-780-2524",
            "fax_number": "702-778-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E WILLIAMS CIR STE 2020",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117454",
            "telephone_number": "520-392-8400",
            "fax_number": "520-393-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P3 HEALTH PARTNERS PROFESSIONAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "702-910-3950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 9, 2021; 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.