FORTUNA MEDICAL GROUP
NPI 1386044477
Clinic/Center in Yuma, AZ

Active since August 26, 2014
11510 S FORTUNA RD, SUITE A, YUMA, AZ 85367(928) 342-7046(928) 342-7018 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fortuna Medical Group NPPES

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

FORTUNA MEDICAL GROUP (NPI 1386044477) is a healthcare organization registered as a clinic/center in Yuma, Arizona and active in the NPI registry since August 2014. The organization lists Oswald Lopez, Manager, as its authorized official.

NPPES Registry Identity

NPI1386044477
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFORTUNA MEDICAL GROUP
Location Address11510 S FORTUNA RD, SUITE AYuma, AZ 85367-7843
Mailing Address11510 S Fortuna Rd, Ste AYuma, AZ 85367-7843 · (928) 342-7046 · Fax (928) 342-7018
Fax(928) 342-7018
Organization SubpartNo
Authorized OfficialOswald LopezManager · (928) 342-7046
Enumeration DateAugust 26, 2014
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1386044477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
11510 S FORTUNA RD, Yuma, AZ 85367

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)

Fortuna Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fortuna Medical Group, 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 (3)

Nurse Practitioner
NPI 1417290594
11510 S FORTUNA RD SUITE A
Yuma, AZ 85367
(928) 342-7046
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053770008
15110 S FORTUNA ROAD STE A
Yuma, AZ 85367
(928) 342-7046
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1124161872
1 COOPER PLZ
Camden, NJ 08103
(888) 499-8779
✔ PECOS✔ Accepts Medicare2,233 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fortuna Medical Group's NPI number?

The NPI number for Fortuna Medical Group is 1386044477. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is Fortuna Medical Group located?

Fortuna Medical Group is located at 11510 S Fortuna Rd Suite A, Yuma, AZ 85367. The listed phone number is (928) 342-7046.

What is Fortuna Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Fortuna Medical Group enrolled in Medicare?

Yes. Fortuna Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fortuna Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fortuna Medical Group, in Diagnostic Radiology 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.

What insurance does Fortuna Medical Group accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Fortuna Medical Group 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 Fortuna Medical Group was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.