THE AMISTAD CLINIC, PLLC
NPI 1639650898
Clinic/Center - Primary Care in Yuma, AZ
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
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Amistad Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Amistad Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is The Amistad Clinic, PLLC enrolled in Medicare?
Yes. The Amistad Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Amistad Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to The Amistad Clinic, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 20 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.
# The Amistad Clinic, Pllc · NPI 1639650898
Primary Care organization in Yuma, Arizona. Organization record, active in the CMS NPPES registry since August 27, 2018.
## Identity
- **NPI:** 1639650898 (Entity type: Organization)
- **Enumerated:** August 27, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** William Amistad, PROVIDER
## Practice location
- **Address:** 100 E 24TH ST STE 3A, Yuma, AZ 85364-8619
- **Phone:** (480) 773-8569
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2025
- **Other identifiers:** Medicaid 205215 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1639650898) · Data from the CMS NPPES public registry.