Organization Active NPI

Aban Wellness Care

  • Adult Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1518836915
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ABAN WELLNESS CARE
Doing business as
Aban Wellness Care
Practice address
2182 Az - 95
Bullhead City, AZ 86442
Phone
(702) 509-6667
NPI assigned
Nov 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Guillermo Zegarra, MD
Title
Medical Director
Phone
(702) 509-6667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0201X

Addresses

Primary practice location

2182 Az - 95
Bullhead City, AZ 86442

Mailing address

2220 Cougar Dr Apt 2049
Laughlin, NV 89029-1282
Phone (702) 509-6667

Other practice location 1

1568 Marina Blvd
Bullhead City, AZ 86442-5736
Phone (702) 509-6667

Other names 1

  • Aban Wellness Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aban Wellness Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1568 Marina Blvd
Bullhead City, AZ 86442
Phone (702) 509-6667

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": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1518836915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COUGAR DR APT 2049",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890291282",
            "telephone_number": "702-509-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 AZ - 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "702-509-6667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1568 Marina Blvd",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864425736",
            "country_code": "US",
            "telephone_number": "702-509-6667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABAN WELLNESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "ZEGARRA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-509-6667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aban Wellness Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.