Ocotillo Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCOTILLO PRIMARY CARE LLC

Practice address

2860 S Alma School Rd Ste 33
Chandler, AZ 85286-4395

Phone

(480) 581-1200

Fax

(480) 581-1300

NPI assigned

Oct 2, 2019

Last updated

Mar 19, 2020By 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

Huma RashidNPI 1326371733

Title

Manager

Phone

(480) 581-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Huma Rashid, MD

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1326371733
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1508407321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD STE 1-397",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S ALMA SCHOOL RD STE 33",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864395",
            "telephone_number": "480-581-1200",
            "fax_number": "480-581-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "HUMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-581-1200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocotillo Healthcare, Inc. (Chandler Post Acute)
• Ocotillo Internal Medicine Associates
• Ocotillo Lakes Dental Health
• Ocotillo Lakes Endodontics, LLC
• Ocotillo Medical Group LLC
• Ocotillomd PLC
• Odel Burnes Sr.
• Odyssey Infusions
• Adaobi Ofuonye
• Ayoola Grace Ogedengbe, RN

• Internal Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.