Altea Medical Clinic PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ALTEA MEDICAL CLINIC PLLC

Practice address

1210 W 24TH St Ste 2
Yuma, AZ 85364-6227

Phone

(928) 726-2500

Fax

(928) 726-7853

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Vernon Chavez, MDNPI 1023101052

Title

Owner

Phone

(928) 726-2500

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHDHCA

Practitioners 4

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

• Vernon Barros Chavez, MD

  • Internal Medicine Physician
  • Yuma, AZ
  • NPI 1023101052
  Medicare reassignment NPD Authorized official
• Clarisse Vanessa Ngueha-Nana

  • Family Nurse Practitioner
  • San Luis, AZ
  • NPI 1356894240
  Medicare reassignment NPD
• Mario Vazquez, NP

  • Nurse Practitioner
  • Yuma, AZ
  • NPI 1023667862
  Medicare reassignment NPD
• Mary Kathleen Powell, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1477961811
  NPD (past)

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1669883864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W 24TH ST STE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646227",
            "telephone_number": "928-726-2500",
            "fax_number": "928-726-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 24TH ST STE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646227",
            "telephone_number": "928-726-2500",
            "fax_number": "928-726-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTEA MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-726-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alrenwald-Theranova, LLC
• Dalal Alromaihi, M.D.
• Nada Alsaiegh, M.D.
• Yosor Altabtabaee, PHARMD, RPH
• Maria E Altamirano, FOSTER PARENT
• Bapu Chand Aluri, M.D.
• Iris Alvarez, LPC, MA
• Jesus Alvarez
• Kailah Alvarez
• Karen A Alvarez, OD

• Health Maintenance Organization in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.