EL CON HEALTH & WELLNESS CENTER LLC
NPI 1255714010
Nurse Practitioner - Obstetrics & Gynecology in Tucson, AZ

Active since June 29, 2015CLIA 03D2104457 · Microscopy
3402 E BROADWAY BLVD, TUCSON, AZ 85716(520) 318-5515(520) 318-5518 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About El Con Health & Wellness Center Llc NPPES

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

EL CON HEALTH & WELLNESS CENTER LLC (NPI 1255714010) is a healthcare organization registered as an obstetrics & gynecology in Tucson, Arizona and active in the NPI registry since June 2015. The organization holds a CLIA Microscopy certificate valid through July 29, 2028 and lists Mena Latkas, Owner, as its authorized official.

NPPES Registry Identity

NPI1255714010
Entity TypeOrganization
Primary Taxonomy363LX0001X
Legal Business NameEL CON HEALTH & WELLNESS CENTER LLC
Location Address3402 E BROADWAY BLVDTucson, AZ 85716-5406
Mailing Address1402 E Placita Meseta DoradaOro Valley, AZ 85755-8683 · (520) 990-8382
Fax(520) 318-5518
Organization SubpartNo
Authorized OfficialMena LatkasOwner · (520) 990-8383
Enumeration DateJune 29, 2015
Last NPPES UpdateMay 11, 2016
✔ NPI 1255714010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in AZ · RN068985
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 86009009 (AZ)
3402 E BROADWAY BLVD, Tucson, AZ 85716

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

El Con Health & Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to El Con Health & Wellness Center 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 (4)

Registered Dietitian or Nutrition Professional
NPI 1780061853
3402 E BROADWAY BLVD
Tucson, AZ 85716
(520) 405-9687
Same address
Nurse Practitioner
NPI 1700290392
6600 N ORACLE RD STE 100
Tucson, AZ 85704
(520) 620-1226
✔ PECOS8.0 mi
Nurse Practitioner
NPI 1740657923
12635 W RUDASILL RD
Tucson, AZ 85743
(520) 682-3777
✔ PECOS✔ Accepts Medicare20 mi
Internal Medicine
NPI 1003860842
101 CIVIC CENTER LN
Lake Havasu City, AZ 86403
(928) 453-0174
✔ PECOS✔ Accepts Medicare252 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2104457

El Con Health & Wellness · Tucson, AZ
Active · expires Jul 29, 2028
CLIA Number03D2104457
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2026
Certificate Expiration DateJuly 29, 2028
Laboratory DirectorMark Chorebanian
Laboratory Phone(520) 318-5515
Laboratory LocationEl Con Health & Wellness3402 E Broadway Blvd, Tucson, AZ 85716
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 El Con Health & Wellness Center LLC's NPI number?

The NPI number for El Con Health & Wellness Center LLC is 1255714010. It was assigned to this organization in the NPPES registry on June 29, 2015.

Where is El Con Health & Wellness Center LLC located?

El Con Health & Wellness Center LLC is located at 3402 E Broadway Blvd, Tucson, AZ 85716. The listed phone number is (520) 318-5515.

What is El Con Health & Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is El Con Health & Wellness Center LLC enrolled in Medicare?

Yes. El Con Health & Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through El Con Health & Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to El Con Health & Wellness Center LLC, in Internal Medicine, Nurse Practitioner and Registered Dietitian or Nutrition Professional. 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 El Con Health & Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2104457) is associated with this NPI, valid through July 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does El Con Health & Wellness Center LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list El Con Health & Wellness Center LLC 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 El Con Health & Wellness Center LLC was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.