Organization Active NPI

Yuma Primary Care P L L C

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1740399633
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33831 Issued in AZ
Legal business name
YUMA PRIMARY CARE P L L C
Practice address
1881 W 24TH St
Suite a
Yuma, AZ 85364-6297
Phone
(928) 726-7171
Fax
(928) 726-7206
NPI assigned
Aug 30, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Morgan Brown
Title
Office Manager
Phone
(928) 726-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33831 AZ Primary

Addresses

Primary practice location

1881 W 24TH St
Suite a
Yuma, AZ 85364-6297

Mailing address

PO Box 5089
Yuma, AZ 85366-5089

Other identifiers 3

IdentifierTypeStateIssuer
945876MedicaidAZ
03D1051477OtherAZCLIA
P00275055OtherAZRAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000113 AZ Part B Supplier - Clinic/Group Practice 0345265260 Receives reassigned benefits from 3 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

2450 S 4th Ave
Ste 520
Yuma, AZ 85364
Phone (928) 726-7171

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1740399633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5089",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853665089",
            "fax_number": "928-726-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 W 24TH ST",
            "address_2": "SUITE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646297",
            "telephone_number": "928-726-7171",
            "fax_number": "928-726-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA PRIMARY CARE P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-726-7171"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945876",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "03D1051477",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00275055",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

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