NPIMap

Organization Active NPI

Apala Family Practice PLLC

  • Primary Care Clinic/Center
  • Surprise, AZ
National Provider Identifier
1417629445
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
APALA FAMILY PRACTICE PLLC
Practice address
12851 W Bell Rd Ste 118
Surprise, AZ 85378-9609
Phone
(623) 584-9279
Fax
(855) 978-1884
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Dr. Jane M Abucha, DNP, ACNP-BCNPI 1861730988
Title
Ceo
Phone
(623) 584-9279

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12851 W Bell Rd Ste 118
Surprise, AZ 85378-9609

Mailing address

PO Box 1543
Sun City, AZ 85372-1543
Phone (623) 584-9279

Other identifiers 1

IdentifierTypeStateIssuer
796987MedicaidAZ

Other names 1

  • Apala HealthCare Doing business as

National Provider Directory

National Provider Directory

Locations

12851 W Bell Rd
Ste 118
Surprise, AZ 85378
Phone (623) 399-9645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1417629445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1543",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853721543",
            "telephone_number": "623-584-9279",
            "fax_number": "855-978-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 W BELL RD STE 118",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789609",
            "telephone_number": "623-584-9279",
            "fax_number": "855-978-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APALA FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "ABUCHA",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-584-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apala HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apala HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.