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THE AMISTAD CLINIC, PLLC
NPI 1639650898
Clinic/Center - Primary Care in Yuma, AZ

Active since August 27, 2018
100 E 24TH ST STE 3A, YUMA, AZ 85364(480) 773-8569 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Aug 27, 2018 (2 updates tracked since 2018).

About The Amistad Clinic, Pllc NPPES

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

THE AMISTAD CLINIC, PLLC (NPI 1639650898) is a healthcare organization registered as a primary care in Yuma, Arizona and active in the NPI registry since August 2018. The organization lists William Bautista Amistad, Provider, as its authorized official.

NPPES Registry Identity

NPI1639650898
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHE AMISTAD CLINIC, PLLC
Location Address100 E 24TH ST STE 3AYuma, AZ 85364-8619
Mailing Address100 E 24th St Ste 3aYuma, AZ 85364-8619 · (928) 750-6410 · Fax (928) 750-6433
Phone(480) 773-8569
Organization SubpartNo
Authorized OfficialWilliam Bautista AmistadProvider · (480) 773-8569
Enumeration DateAugust 27, 2018
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1639650898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AZ · AP9557
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP9557 (AZ)
100 E 24TH ST STE 3A, Yuma, AZ 85364
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Other Identifiers 1

Medicaid205215AZ

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

TRUVEGA MEDICAL TRANSPORT LLC
Non-emergency Medical Transport (VAN)
100 E 24TH ST STE 3A
YUMA, AZ 85364
Yuma County (928) 750-6410
MR. WILLIAM BAUTISTA AMISTAD JR. FNP
Nurse Practitioner (Family)
100 E 24TH ST STE 3A
YUMA, AZ 85364
Yuma County (928) 750-6410
VEGA MEDICAL SERVICES PLLC
Nurse Practitioner (Family)
100 E 24TH ST STE 3A
YUMA, AZ 85364
Yuma County (928) 750-6410

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 The Amistad Clinic, PLLC's NPI number?

The NPI number for The Amistad Clinic, PLLC is 1639650898. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is The Amistad Clinic, PLLC located?

The Amistad Clinic, PLLC is located at 100 E 24th St Ste 3A, Yuma, AZ 85364. The listed phone number is (480) 773-8569.

What is The Amistad Clinic, PLLC'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 The Amistad Clinic, PLLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.