Pima Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PIMA PRIMARY CARE LLC

Practice address

18002 S Placita Octubre
Green Valley, AZ 85614-4416

Phone

(631) 922-0644

NPI assigned

Dec 31, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Frank Bonpietro, MDNPI 1861835670

Title

Founder Ceo

Phone

(631) 922-0644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Frank Bonpietro, M.D.

  • Internal Medicine Physician
  • Scottsbluff, NE
  • NPI 1861835670

  AZ, Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1841009214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 S PLACITA OCTUBRE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144416",
            "telephone_number": "631-922-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 S PLACITA OCTUBRE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144416",
            "telephone_number": "631-922-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "BONPIETRO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "FOUNDER CEO",
        "authorized_official_telephone_number": "631-922-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Green Valley, AZ
• Providers in Green Valley, 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 Dec 31, 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.