Organization Active NPI

Comprehensive Medical Care WM LLC

  • Internal Medicine Physician
  • Lakeside, AZ
National Provider Identifier
1841151883
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPREHENSIVE MEDICAL CARE WM LLC
Practice address
4672 Maverick LN Ste 1a
Lakeside, AZ 85929-5434
Phone
(520) 404-9023
NPI assigned
Nov 19, 2025
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Dr. Yuri Talalaev, MDNPI 1548372089
Title
Manager
Phone
(520) 404-9023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4672 Maverick LN Ste 1a
Lakeside, AZ 85929-5434

Mailing address

650 N Penrod Rd Ste a
Show Low, AZ 85901-5284
Phone (928) 288-0123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260625000917 AZ Part B Supplier - Clinic/Group Practice 1951874544 Receives reassigned benefits from 2 practitioners
Practice locations: Lakeside, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1025168Comprehensive Medical Care4672 Maverick LN Ste 1a, Lakeside, AZ 85929Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1841151883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N PENROD RD STE A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015284",
            "telephone_number": "928-288-0123",
            "fax_number": "877-682-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4672 MAVERICK LN STE 1A",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295434",
            "telephone_number": "520-404-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CARE WM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "TALALAEV",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-404-9023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.