NPIMap

Organization Active NPI

Family Medicine & Weight Management Specialty, P.L.L.C.

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1962736348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4158 Issued in AZ
Legal business name
FAMILY MEDICINE & WEIGHT MANAGEMENT SPECIALTY, P.L.L.C.
Practice address
2222 S Avenue a
Yuma, AZ 85364-8315
Phone
(928) 276-4381
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kirsten A Sorensen
Title
Administrator
Phone
(602) 431-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4158 AZ Primary

Addresses

Primary practice location

2222 S Avenue a
Yuma, AZ 85364-8315

Mailing address

2189 S. Avenue a, Suite a
Yuma, AZ 85364-8880
Phone (928) 276-4381

Other identifiers 1

IdentifierTypeStateIssuer
Z178594OtherAZMEDICARE PTAN FOR STATEOF ARIZONA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962736348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 S. AVENUE A, SUITE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648880",
            "telephone_number": "928-276-4381",
            "fax_number": "928-276-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648315",
            "telephone_number": "928-276-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE & WEIGHT MANAGEMENT SPECIALTY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-431-1152"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR STATEOF ARIZONA",
            "identifier": "Z178594",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.