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OPTIMA MEDICAL
NPI 1306890793
Nurse Practitioner in Tucson, AZ

Active since May 20, 2006CLIA Certified · 9 labs
5981 E GRANT RD, SUITE 115, TUCSON, AZ 85712(520) 886-5315(520) 298-8201 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2020, May 8, 2020, Nov 26, 2019 (3 updates tracked since 2019).

About Optima Medical NPPES

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

OPTIMA MEDICAL (NPI 1306890793) is a healthcare organization registered as a nurse practitioner in Tucson, Arizona and active in the NPI registry since May 2006. The organization holds 9 active CLIA laboratory certificates and lists Michael O'neil, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306890793
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameOLD PUEBLO HEALTHCARE LLC
Location Address5981 E GRANT RD, SUITE 115Tucson, AZ 85712
Mailing Address5981 E Grant Rd, Suite 115Tucson, AZ 85712 · (520) 886-5315 · Fax (520) 298-8201
Phone(520) 886-5315
Fax(520) 298-8201
Organization SubpartNo
Authorized OfficialMichael O'neilCeo · (480) 660-6706
Enumeration DateMay 20, 2006
Last NPPES UpdateJune 15, 20203 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
✔ NPI 1306890793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · RN069526
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5981 E GRANT RD, Tucson, AZ 85712
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Other Names 1

Doing Business AsOptima Medical

Other Identifiers 1

Medicaid101738AZ

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

CLIA Laboratory Certificates CMS CLIA 10

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 03D2256759

Prescott Healthcare Solutions LLC Dba Optima Medical · Queen Creek, AZ
Active · expires Mar 27, 2028
CLIA Number03D2256759
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorGabriella Hancock
Laboratory Phone(480) 660-6706
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0682163

Prescott Healthcare Solutions LLC Dba Optima Medical · Safford, AZ
Active · expires Dec 1, 2027
CLIA Number03D0682163
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorGabriella Hancock
Laboratory Phone(480) 660-6706
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical1300 S 20th Ave, Safford, AZ 85546
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1026754

Prescott Healthcare Solutions LLC Dba Optima Medical · Sierra Vista, AZ
Active · expires Dec 1, 2027
CLIA Number03D1026754
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorGabriella Hancock
Laboratory Phone(480) 660-6706
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical286 S Lenzner Ave, Sierra Vista, AZ 85635
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1095147

Prescott Healthcare Solutions LLC Dba Optima Medical · Gilbert, AZ
Active · expires Dec 1, 2027
CLIA Number03D1095147
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorGabriella Hancock
Laboratory Phone(480) 660-6706
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical3336 E Chandler Heights Rd #132, Gilbert, AZ 85298
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2174316

Prescott Healthcare Solutions LLC Dba Optima Medical · Dewey, AZ
Active · expires Oct 28, 2027
CLIA Number03D2174316
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorGabriella Hancock
Laboratory Phone(480) 660-6706
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical12075 E State Rte 69, Dewey, AZ 86327
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2174319

Prescott Healthcare Solutions Dba Optima Medical · Prescott, AZ
Active · expires Oct 28, 2027
CLIA Number03D2174319
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorGabriella Hancock
Laboratory Phone(480) 660-6706
Laboratory LocationPrescott Healthcare Solutions Dba Optima Medical743 Miller Valley Rd, Prescott, AZ 86301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

REM MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies
5981 E GRANT RD, BUILDING 3
TUCSON, AZ 85712
Pima County (520) 318-1122
MS. NANCY LOUISE HUNTER F.N.P.
Nurse Practitioner (Family)
5981 E GRANT RD, STE. 115
TUCSON, AZ 85712
Pima County (520) 886-5315
MS. MELANIE GRACE HAMPTON CRNP
Nurse Practitioner (Adult Health)
5981 E GRANT RD, SUITE 115
TUCSON, AZ 85712
Pima County (520) 886-5315
WARD B TOWNSEND LCSW
Social Worker (Clinical)
5981 E GRANT RD, SUITE 115
TUCSON, AZ 85712
Pima County (520) 886-5315
PAMELA D LAUBSCHER DO
Family Medicine
5981 E GRANT RD, SUITE 115
TUCSON, AZ 85712
Pima County (520) 886-5315
DEBBY J BLANK M.D.
General Practice
5981 E GRANT RD, STE. #115
TUCSON, AZ 85712
Pima County (520) 886-5315

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 Old Pueblo Healthcare LLC's NPI number?

The NPI number for Old Pueblo Healthcare LLC is 1306890793. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Optima Medical.

Where is Old Pueblo Healthcare LLC located?

Old Pueblo Healthcare LLC is located at 5981 E Grant Rd Suite 115, Tucson, AZ 85712. The listed phone number is (520) 886-5315.

What is Old Pueblo Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Old Pueblo Healthcare LLC hold CLIA laboratory certificates?

Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Old Pueblo Healthcare LLC was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.