Fatima Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FATIMA HEALTH LLC

Doing business as

Optimal Health Medical Clinic

Practice address

855 E Brown Rd Ste 10
Mesa, AZ 85203-4949

Phone

(623) 910-3171

Fax

(949) 655-2754

NPI assigned

May 22, 2020

Last updated

Dec 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lilian L LaimoNPI 1407392806

Title

Owner

Phone

(623) 910-3171

Specialties & licenses 1

Addresses

Other names 1

• OPTIMAL HEALTH MEDICAL CLINIC Doing business as

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

Practitioners 1

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.

• Lilian Limbi Laimo, FNP-BC

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1407392806
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1710500962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD STE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034949",
            "telephone_number": "623-910-3171",
            "fax_number": "949-655-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD STE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034949",
            "telephone_number": "623-910-3171",
            "fax_number": "949-655-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATIMA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "LAIMO",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-910-3171"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMAL HEALTH MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPTIMAL HEALTH MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay M Farwick, FNP
• Farzin Dentistry PLLC (Destination Dental)
• Manoush Farzin, D.M.D
• Shelley Anne Fassett, LCSW
• Nathaniel Fastenberg, MD
• Fatima Pharmacy, LLC
• Olubadewa Fatunde, MD
• Dwight Faught, DNP, RN. PMHNP-BC
• William Ernest Faught Jr., SA-C
• Kenzie Fauset, DPT

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.