Pura Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PURA PRIMARY CARE

Practice address

9305 W Thomas Rd Ste 285
Phoenix, AZ 85037-3365

Phone

(602) 677-3801

NPI assigned

Dec 7, 2023

Organization subpart

Yes

Parent organization

PURA PRIMARY CAREAs reported in NPPES

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

Authorized official

Name

Fallon R Damico, PA-CNPI 1942679741

Title

Owner

Phone

(602) 670-5413

Specialties & licenses 1

Addresses

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

Part of

Pura Primary Care

Practitioners 1

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

• Fallon Rayne Damico, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1942679741
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1750158036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373365",
            "telephone_number": "602-677-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373365",
            "telephone_number": "602-677-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURA PRIMARY CARE",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "FALLON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-670-5413",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janey Catharine Pulzello, MA, BCBA, LBA
• Sarah Christine Puma, RN
• Sumita Punia
• Robert Anthony Puntel, M.D.
• Adi Puplampu, MD
• Pura Vida Mind and Body PLLC
• Jasper Lao Puracan, MD MPH
• Erika Michelle Purcell, DMD
• Ralph N Purcell, MD
• Stefani Purcell, DMD

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.