ACACIA FAMILY PRACTICE GROUP INC
NPI 1316508211
Family Medicine in Yuma, AZ

Active since June 22, 2019CLIA 03D2175229 · Waiver

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Acacia Family Practice Group Inc NPPES

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

ACACIA FAMILY PRACTICE GROUP INC (NPI 1316508211) is a healthcare organization registered as a family medicine in Yuma, Arizona and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Jesus Garcia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316508211
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACACIA FAMILY PRACTICE GROUP INC
Location Address888 W 16TH STYuma, AZ 85364-4542
Mailing Address888 W 16th StYuma, AZ 85364-4542 · (928) 550-7000
Organization SubpartNo
Authorized OfficialJesus GarciaCeo · (928) 726-9163
Enumeration DateJune 22, 2019
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1316508211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
888 W 16TH ST, Yuma, AZ 85364

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Acacia Family Practice Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Acacia Family Practice Group Inc, 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)

Nurse Practitioner
NPI 1093171456
888 W 16TH ST
Yuma, AZ 85364
(928) 550-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669097051
675 S AVENUE B BLDG A
Yuma, AZ 85364
(928) 539-3140
✔ PECOS✔ Accepts Medicare1.1 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 of Waiver 03D2175229

Acacia Family Practice Group · Yuma, AZ
Active · expires Nov 17, 2027
CLIA Number03D2175229
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorJesus Garcia
Laboratory Phone(928) 550-7000
Laboratory LocationAcacia Family Practice Group888 W 16th Street, Yuma, AZ 85364
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Acacia Family Practice Group Inc's NPI number?

The NPI number for Acacia Family Practice Group Inc is 1316508211. It was assigned to this organization in the NPPES registry on June 22, 2019.

Where is Acacia Family Practice Group Inc located?

Acacia Family Practice Group Inc is located at 888 W 16th St, Yuma, AZ 85364. The listed phone number is (928) 550-7000.

What is Acacia Family Practice Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Acacia Family Practice Group Inc enrolled in Medicare?

Yes. Acacia Family Practice Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acacia Family Practice Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Acacia Family Practice Group 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. 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 Acacia Family Practice Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2175229) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Acacia Family Practice Group Inc accept?

Health plans from Imperial Insurance Companies, Inc. list Acacia Family Practice Group 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 Acacia Family Practice Group Inc was last updated on January 18, 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.