GRAND CANYON MEDICAL CLINIC PLLC
NPI 1164141065
Nurse Practitioner - Family in Yuma, AZ
About Grand Canyon Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND CANYON MEDICAL CLINIC PLLC (NPI 1164141065) is a healthcare organization registered as a family in Yuma, Arizona and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Alex D Galvez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2293260
Grand Canyon Medical Clinic, Plc · Yuma, AZOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grand Canyon Medical Clinic PLLC's NPI number?
The NPI number for Grand Canyon Medical Clinic PLLC is 1164141065. It was assigned to this organization in the NPPES registry on August 24, 2022.
Where is Grand Canyon Medical Clinic PLLC located?
Grand Canyon Medical Clinic PLLC is located at 1841 W 25th St Ste B, Yuma, AZ 85364. The listed phone number is (928) 503-7246.
What is Grand Canyon Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Grand Canyon Medical Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2293260) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Grand Canyon Medical Clinic PLLC accept?
Health plans from Ambetter from Arizona Complete Health list Grand Canyon Medical Clinic PLLC 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 Grand Canyon Medical Clinic PLLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grand Canyon Medical Clinic Pllc · NPI 1164141065
Family organization in Yuma, Arizona. Organization record, active in the CMS NPPES registry since August 24, 2022.
## Identity
- **NPI:** 1164141065 (Entity type: Organization)
- **Enumerated:** August 24, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Alex Galvez, OWNER
## Practice location
- **Address:** 1841 W 25TH ST STE B, Yuma, AZ 85364-6931
- **Phone:** (928) 503-7246
## Record status
- **NPPES last updated:** February 20, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1164141065) · Data from the CMS NPPES public registry.