SAN LUIS WALK-IN CLINIC, INC.
NPI 1154051753
Clinic/Center - Rural Health in Lake Havasu City, AZ
About San Luis Walk-in Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN LUIS WALK-IN CLINIC, INC. (NPI 1154051753), doing business as Lake Havasu Pediatric Family Clinic, is a healthcare organization registered as a rural health in Lake Havasu City, Arizona and active in the NPI registry since June 2022. The organization lists Amanda Aguirre, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Luis Walk-in Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
89Medicare enrollment records show 89 clinicians reassign Medicare billing to San Luis Walk-In Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 89Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 San Luis Walk-In Clinic, Inc.'s NPI number?
The NPI number for San Luis Walk-In Clinic, Inc. is 1154051753. It was assigned to this organization in the NPPES registry on June 15, 2022. The provider is doing business as Lake Havasu Pediatric Family Clinic.
Where is San Luis Walk-In Clinic, Inc. located?
San Luis Walk-In Clinic, Inc. is located at 1980 Mesquite Ave Ste 103, Lake Havasu City, AZ 86403. The listed phone number is (928) 392-3691.
What is San Luis Walk-In Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is San Luis Walk-In Clinic, Inc. enrolled in Medicare?
Yes. San Luis Walk-In Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Luis Walk-In Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 17 Medicare specialties reassign their Medicare billing to San Luis Walk-In Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), Obstetrics/Gynecology (12) and Certified Nurse Midwife (CNM) (10). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does San Luis Walk-In Clinic, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list San Luis Walk-In Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for San Luis Walk-In Clinic, Inc. was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# San Luis Walk-In Clinic, Inc. · NPI 1154051753
Rural Health organization in Lake Havasu City, Arizona. Organization record, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1154051753 (Entity type: Organization)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** LAKE HAVASU PEDIATRIC FAMILY CLINIC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amanda Aguirre, PRESIDENT & CEO
## Practice location
- **Address:** 1980 MESQUITE AVE STE 103, Lake Havasu City, AZ 86403-7713
- **Phone:** (928) 392-3691 · **Fax:** (928) 392-3693
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 89 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Obstetrics/Gynecology (12), Certified Nurse Midwife (CNM) (10); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1154051753/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154051753) · Data from the CMS NPPES public registry.