INNOVATIVE PRIMARY CARE OF HAVASU LLC
NPI 1619633088
Clinic/Center - Primary Care in Lake Havasu City, AZ

Active since November 10, 2021
1945 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403(928) 733-6287(928) 733-6305 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Primary Care Of Havasu Llc NPPES

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

INNOVATIVE PRIMARY CARE OF HAVASU LLC (NPI 1619633088), doing business as Innovative Primary Care Clinic Of Havasu, is a healthcare organization registered as a primary care in Lake Havasu City, Arizona and active in the NPI registry since November 2021. The organization lists Loida Loyola Arquiza, Primary Provider, as its authorized official.

NPPES Registry Identity

NPI1619633088
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINNOVATIVE PRIMARY CARE OF HAVASU LLC
Location Address1945 MESQUITE AVE STE BLake Havasu City, AZ 86403-5889
Mailing Address1945 Mesquite Ave Ste BLake Havasu City, AZ 86403-5889 · (928) 733-6287 · Fax (928) 733-6305
Fax(928) 733-6305
Organization SubpartNo
Authorized OfficialLoida Loyola ArquizaPrimary Provider · (240) 535-0065
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1619633088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1945 MESQUITE AVE STE B, Lake Havasu City, AZ 86403

Other Names 1

Doing Business AsInnovative Primary Care Clinic Of Havasu

Other Identifiers 1

Other258797AZ · Arizona Np License

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
1945 MESQUITE AVE STE B
LAKE HAVASU CITY, AZ 86403

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 Innovative Primary Care Of Havasu LLC's NPI number?

The NPI number for Innovative Primary Care Of Havasu LLC is 1619633088. It was assigned to this organization in the NPPES registry on November 10, 2021. The provider is doing business as Innovative Primary Care Clinic of Havasu.

Where is Innovative Primary Care Of Havasu LLC located?

Innovative Primary Care Of Havasu LLC is located at 1945 Mesquite Ave Ste B, Lake Havasu City, AZ 86403. The listed phone number is (928) 733-6287.

What is Innovative Primary Care Of Havasu LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Innovative Primary Care Of Havasu LLC was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.