| San Luis Walk-in Clinic, Inc. | |
|
1896 E Babbit Ln San Luis AZ 85336-7820 | |
| (928) 722-6112 | |
| (928) 722-6113 |
| Full Name | San Luis Walk-in Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1896 E Babbit Ln, San Luis, Arizona |
| Authorized Official Name and Position | Amanda Aguirre (PRESIDENT & CEO) |
| Authorized Official Contact | 9283157910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Walk-in Clinic, Inc. Po Box 617 Somerton AZ 85350-0617 Ph: (928) 315-7910 | San Luis Walk-in Clinic, Inc. 1896 E Babbit Ln San Luis AZ 85336-7820 Ph: (928) 722-6112 |
| NPI Number | 1104228337 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 2668361841 |
|---|---|
| Medicare Enrollment ID | O20040514000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104228337 | NPI | - | NPPES |
| 943681 | Medicaid | AZ | |
| OTC3530 | Other | AZ | ADHS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Laurence Elliott Schiff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477609485 PECOS PAC ID: 9537112610 Enrollment ID: I20050301000563 |
| Provider Name | Justice H D Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013013358 PECOS PAC ID: 4981635844 Enrollment ID: I20050830000932 |
| Provider Name | Jose L Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437134830 PECOS PAC ID: 4385679596 Enrollment ID: I20050927000802 |
| Provider Name | Michael E Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154365187 PECOS PAC ID: 8426073271 Enrollment ID: I20051011000230 |
| Provider Name | Alejandrina Orpineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386795102 PECOS PAC ID: 7214039064 Enrollment ID: I20070225000004 |
| Provider Name | Steven Maron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366488686 PECOS PAC ID: 5890798276 Enrollment ID: I20070827000776 |
| Provider Name | Robert L Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609870385 PECOS PAC ID: 0345137543 Enrollment ID: I20091217000648 |
| Provider Name | William R Mcnair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780913236 PECOS PAC ID: 5597893511 Enrollment ID: I20100512001093 |
| Provider Name | Stephen D Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255578324 PECOS PAC ID: 1557257847 Enrollment ID: I20101214000680 |
| Provider Name | Michael G Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861678435 PECOS PAC ID: 8820272107 Enrollment ID: I20110411000783 |
| Provider Name | Leah K Mcnair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104128255 PECOS PAC ID: 1951585801 Enrollment ID: I20110418000684 |
| Provider Name | Charlotte J Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851358857 PECOS PAC ID: 1951342005 Enrollment ID: I20120106000437 |
| Provider Name | Natalie M Andress |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427319961 PECOS PAC ID: 9739345760 Enrollment ID: I20120719000329 |
| Provider Name | Marsha Keechler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982825881 PECOS PAC ID: 8729244439 Enrollment ID: I20120725000293 |
| Provider Name | Daniel A Calabrese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881889103 PECOS PAC ID: 9537119417 Enrollment ID: I20130307000526 |
| Provider Name | Angel R Temponi Zabala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760709281 PECOS PAC ID: 2860618295 Enrollment ID: I20140721002122 |
| Provider Name | Karina M Robbins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316100613 PECOS PAC ID: 3971664590 Enrollment ID: I20141021003270 |
| Provider Name | Prakshep B Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174799043 PECOS PAC ID: 1951597186 Enrollment ID: I20150129001602 |
| Provider Name | Ava Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881968733 PECOS PAC ID: 3971823246 Enrollment ID: I20150528000767 |
| Provider Name | Richard A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609806348 PECOS PAC ID: 4183528714 Enrollment ID: I20151116002266 |
| Provider Name | Leonardo Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801007000 PECOS PAC ID: 3476649641 Enrollment ID: I20160719002431 |
| Provider Name | Stella C Raposas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538269345 PECOS PAC ID: 9133124068 Enrollment ID: I20160819001493 |
| Provider Name | Victoria E Lasala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528500576 PECOS PAC ID: 1557642089 Enrollment ID: I20161221001214 |
| Provider Name | Natalia Varenka Galarza Carrazco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982045423 PECOS PAC ID: 4284938085 Enrollment ID: I20170123001281 |
| Provider Name | Hector I De La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205370293 PECOS PAC ID: 8224312012 Enrollment ID: I20170222001480 |
| Provider Name | Lois E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659788966 PECOS PAC ID: 8123249299 Enrollment ID: I20170608001659 |
| Provider Name | Monica J Montufar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003927336 PECOS PAC ID: 2668637059 Enrollment ID: I20170821002869 |
| Provider Name | Edgar B Mayorquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619462009 PECOS PAC ID: 9537418892 Enrollment ID: I20180820001431 |
| Provider Name | Gwendolyn Terrazas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801375126 PECOS PAC ID: 9931450533 Enrollment ID: I20180920001840 |
| Provider Name | Cyvada M Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114409620 PECOS PAC ID: 9335493758 Enrollment ID: I20181120003177 |
| Provider Name | Amanda Aguirre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942615760 PECOS PAC ID: 4789573965 Enrollment ID: I20181230000037 |
| Provider Name | Janine Marie Hammond |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639652654 PECOS PAC ID: 1951647361 Enrollment ID: I20190107000600 |
| Provider Name | Jaime E Valles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457826224 PECOS PAC ID: 8224377635 Enrollment ID: I20190301001543 |
| Provider Name | Myriam A Villapudua |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831479419 PECOS PAC ID: 6800120924 Enrollment ID: I20190624002942 |
| Provider Name | Mark M Lessner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497857999 PECOS PAC ID: 2961485859 Enrollment ID: I20191114000192 |
| Provider Name | Alex Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528691235 PECOS PAC ID: 1951722966 Enrollment ID: I20200529002067 |
| Provider Name | Chinelo Unoma Ughanze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942713086 PECOS PAC ID: 4183045032 Enrollment ID: I20200601001127 |
| Provider Name | Patricia Ann Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730718610 PECOS PAC ID: 5597182840 Enrollment ID: I20200901001239 |
| Provider Name | Miriam Alvarez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215551023 PECOS PAC ID: 0446677421 Enrollment ID: I20200908000464 |
| Provider Name | Lizeth Fabiola Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306460522 PECOS PAC ID: 6103245360 Enrollment ID: I20201007002884 |
| Provider Name | Kimberly Gamboa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528652450 PECOS PAC ID: 3476969056 Enrollment ID: I20210305000528 |
| Provider Name | Satish Kumar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619901501 PECOS PAC ID: 9234434234 Enrollment ID: I20210406002226 |
| Provider Name | Patricia Gonzalez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427577857 PECOS PAC ID: 6305245713 Enrollment ID: I20210603003355 |
| Provider Name | Mandana Semnani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649626110 PECOS PAC ID: 2062815939 Enrollment ID: I20210729002552 |
| Provider Name | Maricela Sevilla Olea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447924907 PECOS PAC ID: 8325443054 Enrollment ID: I20210818003865 |
| Provider Name | Jose Ramon Sanchez Bastidas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629724075 PECOS PAC ID: 2466847769 Enrollment ID: I20220324000218 |
| Provider Name | May Chambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669512026 PECOS PAC ID: 9739177023 Enrollment ID: I20220620001809 |
| Provider Name | Kathleen Marie Embree |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821390931 PECOS PAC ID: 6507249620 Enrollment ID: I20220822002746 |
| Provider Name | Pamela Louise Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881365955 PECOS PAC ID: 1254707029 Enrollment ID: I20221019001200 |
| Provider Name | Bryan Razo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184351579 PECOS PAC ID: 2062889850 Enrollment ID: I20221108002062 |
| Provider Name | Teresa Danielle Cothern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770921207 PECOS PAC ID: 9234408063 Enrollment ID: I20221123000217 |
| Provider Name | Tatyana Jack Ruddock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144722422 PECOS PAC ID: 3971841586 Enrollment ID: I20230420002680 |
| Provider Name | Diana Lorena Monroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194409649 PECOS PAC ID: 8820457658 Enrollment ID: I20230711002201 |
| Provider Name | Lily Yu Lin Mcnair |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720767767 PECOS PAC ID: 7214381862 Enrollment ID: I20230929002967 |
| Provider Name | Christopher L Johnson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467637744 PECOS PAC ID: 4082060181 Enrollment ID: I20231025003990 |
| Provider Name | Nancy Rojas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932681509 PECOS PAC ID: 7113377276 Enrollment ID: I20240102002033 |
| Provider Name | Maria Yolanda Renteria |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548893233 PECOS PAC ID: 6608227616 Enrollment ID: I20240103004111 |
| Provider Name | Taliah Anabell Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063274264 PECOS PAC ID: 4789028564 Enrollment ID: I20240220003547 |
| Provider Name | Matilde Gaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396329660 PECOS PAC ID: 3274977947 Enrollment ID: I20240221001946 |
Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 S Oak Ave Ste 2, San Luis, AZ 85336 Phone: 928-315-7910 Fax: 928-722-6113 | |
Women's Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 S Oak Ave Ste 3, San Luis, AZ 85336 Phone: 928-315-7910 Fax: 928-722-6113 | |
Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 S Oak Ave Ste 5, San Luis, AZ 85336 Phone: 928-315-7910 Fax: 928-722-6113 | |
Family Behavioral Integrated Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1453 N. Main Street, Suite 6, San Luis, AZ 85336 Phone: 928-722-6112 Fax: 928-722-6113 | |
San Jose Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1962 E Juan Sanchez Blvd, Ste 1, San Luis, AZ 85349 Phone: 928-722-6098 Fax: 928-627-0007 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbit Ln, San Luis, AZ 85336 Phone: 928-722-6112 Fax: 928-722-6113 |