Organization Active NPI

Desert Healthcare Services LLC

Doing business as Primecare

  • Clinic/Center
  • Yuma, AZ
National Provider Identifier
1871610055
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DESERT HEALTHCARE SERVICES LLC
Doing business as
Primecare
Practice address
1581 S 6TH Ave
Yuma, AZ 85364-4684
Phone
(928) 343-0488
Fax
(928) 782-0401
NPI assigned
Mar 23, 2007
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. Mallappa Neelappa, M.D.NPI 1861455818
Title
President Ceo
Phone
(928) 343-0488

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1581 S 6TH Ave
Yuma, AZ 85364-4684

Mailing address

PO Box 6229
Yuma, AZ 85366-2510
Phone (928) 345-6860

Other practice location 1

284 W 32nd St
Yuma, AZ 85364-8152
Phone (928) 341-4563

Other practice location 2

11279 S Glenwood Ave
Yuma, AZ 85367-5885
Phone (928) 345-6830

Other names 1

  • Primecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040405001207 AZ Part B Supplier - Clinic/Group Practice 7113910357 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Yuma, AZ
O20100930046360 AZ DME Supplier - Physician - Unknown Physician SpecialtyDME Supplier - Other 7113910357 Practice locations: Yuma, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
03D1042439Desert Healthcare Services, LLC1581 S 6TH Ave, Yuma, AZ 85364Provider-performed microscopyJun 29, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Primecare Valley1581 S 6TH Ave, Yuma, AZ 85364(928) 345-6860 Canes and/or Crutches|Orthoses: Off-The-Shelf|Urological Supplies|Oxygen Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

284 W 32nd St
Yuma, AZ 85364
Phone (928) 341-4563

2377 S 22nd Dr
Yuma, AZ 85364
Phone (928) 341-4563

11279 S Glenwood Ave
Yuma, AZ 85367
Phone (928) 341-4563

Practitioners & affiliated clinicians

Practitioners 10

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1871610055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6229",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662510",
            "telephone_number": "928-345-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 S 6TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644684",
            "telephone_number": "928-343-0488",
            "fax_number": "928-782-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648152",
            "country_code": "US",
            "telephone_number": "928-341-4563",
            "fax_number": "928-344-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11279 S Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853675885",
            "country_code": "US",
            "telephone_number": "928-345-6830",
            "fax_number": "928-345-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "NEELAPPA",
        "authorized_official_first_name": "MALLAPPA",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "928-343-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 21, 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.