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FAMILY PRIMARY CARE, LLC
NPI 1053938860
Nurse Practitioner - Family in Lake Havasu City, AZ

Active since June 26, 2020
1720 MESQUITE AVE STE 100, LAKE HAVASU CITY, AZ 86403(928) 412-8808(928) 412-8807 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2020, Aug 3, 2020, Jun 26, 2020 (3 updates tracked since 2020).

About Family Primary Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY PRIMARY CARE, LLC (NPI 1053938860) is a healthcare organization registered as a family in Lake Havasu City, Arizona and active in the NPI registry since June 2020. The organization lists Shawn Robert O'haver, Owner, as its authorized official.

NPPES Registry Identity

NPI1053938860
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY PRIMARY CARE, LLC
Location Address1720 MESQUITE AVE STE 100Lake Havasu City, AZ 86403-5602
Mailing Address1720 Mesquite Ave Ste 100Lake Havasu City, AZ 86403-5602 · (928) 412-8808
Phone(928) 412-8808
Fax(928) 412-8807
Organization SubpartNo
Authorized OfficialShawn Robert O'haverOwner · (928) 208-2430
Enumeration DateJune 26, 2020
Last NPPES UpdateJune 29, 20233 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1053938860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1720 MESQUITE AVE STE 100, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESIDE ORTHOPEDIC INSTITUTE, LLC
Family Medicine
1720 MESQUITE AVE STE 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Primary Care, LLC's NPI number?

The NPI number for Family Primary Care, LLC is 1053938860. It was assigned to this organization in the NPPES registry on June 26, 2020.

Where is Family Primary Care, LLC located?

Family Primary Care, LLC is located at 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403. The listed phone number is (928) 412-8808.

What is Family Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Family Primary Care, LLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.