NPIMap

Organization Active NPI

Pascua Yaqui Tribe

  • Multi-Specialty Clinic/Center
  • Guadalupe, AZ
National Provider Identifier
1508666215
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PASCUA YAQUI TRIBE
Practice address
6725 South Priest Drive
Guadalupe, AZ 85283
Phone
(520) 879-6039
NPI assigned
Mar 13, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PASCUA YAQUI TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Linda Guerrero
Title
Delegated Official
Phone
(520) 879-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6725 South Priest Drive
Guadalupe, AZ 85283

Mailing address

7490 S Camino de Oeste
Tucson, AZ 85746-9308
Phone (520) 879-6039

Other names 1

  • Pascua Yaqui Tribe Walupe Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220120000627 TX Part B Supplier - Clinic/Group Practice 7618033598 Receives reassigned benefits from 31 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ; Guadalupe, AZ

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Pascua Yaqui Tribe21 organizations share this tax ID, including this one
Part of
Pascua Yaqui Tribe

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1508666215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 S CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469308",
            "telephone_number": "520-879-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 SOUTH PRIEST DRIVE",
            "city": "GUADALUPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "520-879-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCUA YAQUI TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASCUA YAQUI TRIBE",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "520-879-6039"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pascua Yaqui Tribe Walupe Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guadalupe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.