NPIMap

Organization Active NPI

Arizona Total Care LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
National Provider Identifier
1700433885
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ARIZONA TOTAL CARE LLC
Practice address
6612 E Carondelet Dr
Tucson, AZ 85710-2119
Phone
(520) 207-1585
Fax
(520) 616-2656
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Eitan Morse
Title
Member
Phone
(520) 977-5926

Specialties & licenses 1

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

Addresses

Primary practice location

6612 E Carondelet Dr
Tucson, AZ 85710-2119

Mailing address

PO Box 12276
Tucson, AZ 85732-2276
Phone (520) 296-1206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191030002591 AZ Part B Supplier - Clinic/Group Practice 6800128539 Receives reassigned benefits from 21 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

6612 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 207-1585

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1700433885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12276",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857322276",
            "telephone_number": "520-296-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-207-1585",
            "fax_number": "520-616-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-977-5926"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.