AZ WELLNESS CLINICA FAMILIAR LLC
NPI 1255163382
Family Medicine in Phoenix, AZ
About Az Wellness Clinica Familiar Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZ WELLNESS CLINICA FAMILIAR LLC (NPI 1255163382) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Joseph Gutierrez, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Az Wellness Clinica Familiar Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Az Wellness Clinica Familiar LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 03D2272899
Az Wellness Clinica Familiar · Phoenix, AZFrequently 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 Az Wellness Clinica Familiar LLC's NPI number?
The NPI number for Az Wellness Clinica Familiar LLC is 1255163382. It was assigned to this organization in the NPPES registry on August 16, 2024.
Where is Az Wellness Clinica Familiar LLC located?
Az Wellness Clinica Familiar LLC is located at 10645 N 43rd Ave, Phoenix, AZ 85029. The listed phone number is (602) 370-2920.
What is Az Wellness Clinica Familiar LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Az Wellness Clinica Familiar LLC enrolled in Medicare?
Yes. Az Wellness Clinica Familiar LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Az Wellness Clinica Familiar LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Az Wellness Clinica Familiar LLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Az Wellness Clinica Familiar LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2272899) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Az Wellness Clinica Familiar LLC was last updated on August 16, 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.
# Az Wellness Clinica Familiar Llc · NPI 1255163382
Family Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since August 16, 2024.
## Identity
- **NPI:** 1255163382 (Entity type: Organization)
- **Enumerated:** August 16, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Joseph Gutierrez, MEDICAL DIRECTOR
## Practice location
- **Address:** 10645 N 43RD AVE, Phoenix, AZ 85029-3944
- **Phone:** (602) 370-2920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255163382) · Data from the CMS NPPES public registry.