Aban Care Clinic LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

32150 Issued in AZ

Legal business name

ABAN CARE CLINIC LLC

Practice address

2182 Highway 95
Bullhead City, AZ 86442-6044

Phone

(928) 758-6420

Fax

(928) 758-6509

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo G Zegarra, M.D.NPI 1568478493

Title

Member/Physician

Phone

(928) 758-6420

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Guillermo G Zegarra, M.D.

  • Specialist
  • Bullhead City, AZ
  • NPI 1568478493
  Medicare reassignment Care Compare group Authorized official
• Jose Hiram Alvarez, M.D.

  • Obstetrics & Gynecology Physician
  • Bullhead City, AZ
  • NPI 1093899379

  Specialist

  Medicare reassignment Care Compare group NPD
• Summer Lynn Wilcox, CNP

  • Family Nurse Practitioner
  • Fort Mohave, AZ
  • NPI 1427307941
  Medicare reassignment NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1649366378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20247",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864390247",
            "telephone_number": "928-758-6420",
            "fax_number": "928-758-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426044",
            "telephone_number": "928-758-6420",
            "fax_number": "928-758-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABAN CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "ZEGARRA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "928-758-6420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "2976",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932401",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #0248)
• 930, LLC (In-Home Caregiving, LLC)
• A to Z Health and Wellness Clinic PLLC
• Aban Wellness Care
• Aban Wellness Care
• Abc Therapy
• Abc Therapy, Inc.
• Abc Therapy, Inc.

• Specialist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.