1. Home
  2. Directory
  3. Arizona
  4. Prescott
  5. Family Medicine
  6. NPI Profile

PRESCOTT COMPLETE CARE, PLLC
NPI 1538714092
Family Medicine in Prescott, AZ

Active since August 01, 2019CLIA 03D2178138 · Waiver
1947 COMMERCE CENTER CIRCLE, SUITE A, PRESCOTT, AZ 86301(928) 458-5723(928) 237-1787 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Sep 26, 2024, Apr 15, 2020 and 1 more (4 updates tracked since 2019).

About Prescott Complete Care, Pllc NPPES

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

PRESCOTT COMPLETE CARE, PLLC (NPI 1538714092) is a healthcare organization registered as a family medicine in Prescott, Arizona and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Joseph Viccica, Member, as its authorized official.

NPPES Registry Identity

NPI1538714092
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRESCOTT COMPLETE CARE, PLLC
Location Address1947 COMMERCE CENTER CIRCLE, SUITE APrescott, AZ 86301
Mailing Address1947 Commerce Center Circle, Suite APrescott, AZ 86301 · (928) 458-5723 · Fax (928) 237-1787
Phone(928) 458-5723
Fax(928) 237-1787
Organization SubpartNo
Authorized OfficialJoseph ViccicaMember · (570) 299-0037
Enumeration DateAugust 1, 2019
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1538714092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1947 COMMERCE CENTER CIRCLE, Prescott, AZ 86301
Open in Google Maps ↗

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

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 03D2178138

Prescott Complete Care · Prescott, AZ
Active · expires Jan 27, 2028
CLIA Number03D2178138
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorZachary R. Leonard
Laboratory Phone(928) 458-5723
Laboratory LocationPrescott Complete Care1947 Commerce Center Circle Suite A, Prescott, AZ 86301
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 Prescott Complete Care, PLLC's NPI number?

The NPI number for Prescott Complete Care, PLLC is 1538714092. It was assigned to this organization in the NPPES registry on August 1, 2019.

Where is Prescott Complete Care, PLLC located?

Prescott Complete Care, PLLC is located at 1947 Commerce Center Circle Suite A, Prescott, AZ 86301. The listed phone number is (928) 458-5723.

What is Prescott Complete Care, PLLC's specialty?

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

Does Prescott Complete Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2178138) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prescott Complete Care, PLLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.