Individual provider Active NPI

Francisco Urbina, PA-C

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1386841435
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5117 Issued in AZ
Practice address
1025 W 24TH St Ste 26
Yuma, AZ 85364-8372
Phone
(520) 886-7246
Fax
(520) 901-2929
NPI assigned
Jul 2, 2007
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19174 CA
Physician Assistant 363A00000X PA1087 NV
Physician Assistant 363A00000X 5117 AZ Primary

Addresses

Primary practice location

1025 W 24TH St Ste 26
Yuma, AZ 85364-8372

Mailing address

6252 E Grant Rd Ste 150
Tucson, AZ 85712-5803
Phone (520) 886-7246

Other identifiers 4

IdentifierTypeStateIssuer
1386841435OtherNVSMA MEDICAID
V112036OtherNVSMA MEDICARE
305042MedicaidAZ
Z213193OtherAZMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071017000966 CA Practitioner - Physician Assistant 8426144700 Reassigns benefits to 1 organization
I20120509000161 AZ Practitioner - Physician Assistant 8426144700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19174CAMDMarriage & Family Therapist
5117AZMDPhysical Therapist
PA19174CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Mar 1, 2019 Accepting new patients
Lake Mead Emergency Physicians, LLC Past Accepting new patients
Nevada Surgical Specialists LLC Past Accepting new patients
Advanced Care Emergency Services, PLLC Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • Direct secure messaging: francisco.urbina@3856.securemail.prognocis.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1386841435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 E GRANT RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125803",
            "telephone_number": "520-886-7246",
            "fax_number": "520-901-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W 24TH ST STE 26",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648372",
            "telephone_number": "520-886-7246",
            "fax_number": "520-901-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBINA",
        "first_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19174",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1087",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMA MEDICAID",
            "identifier": "1386841435",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMA MEDICARE",
            "identifier": "V112036",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305042",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z213193",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.