ABAN CARE CLINIC LLC
NPI 1649366378
Specialist in Bullhead City, AZ

Active since October 04, 2006CLIA 03D1063473 · Waiver
2182 HIGHWAY 95, BULLHEAD CITY, AZ 86442(928) 758-6420(928) 758-6509 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Jun 21, 2018 (2 updates tracked since 2018).

About Aban Care Clinic Llc NPPES

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

ABAN CARE CLINIC LLC (NPI 1649366378) is a healthcare organization registered as a specialist in Bullhead City, Arizona and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Guillermo G Zegarra, Member/physician, as its authorized official.

NPPES Registry Identity

NPI1649366378
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameABAN CARE CLINIC LLC
Location Address2182 HIGHWAY 95Bullhead City, AZ 86442-6044
Mailing AddressPo Box 20247Bullhead City, AZ 86439-0247 · (928) 758-6420 · Fax (928) 758-6509
Fax(928) 758-6509
Organization SubpartNo
Authorized OfficialGuillermo G ZegarraMember/physician · (928) 758-6420
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1649366378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AZ · 32150
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2182 HIGHWAY 95, Bullhead City, AZ 86442

Other Identifiers 2

Other2976AZ · Business License
Medicaid932401AZ

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

Accepted Insurance

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 03D1063473

Aban Care Clinic · Bullhead City, AZ
Active · expires Jan 15, 2027
CLIA Number03D1063473
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorGuillermo Zegarra, MD
Laboratory Phone(928) 758-6420
Laboratory LocationAban Care Clinic2182 Hwy 95, Bullhead City, AZ 86442
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
2182 HIGHWAY 95
BULLHEAD CITY, AZ 86442
Specialist
2182 HIGHWAY 95
BULLHEAD CITY, AZ 86442

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 Aban Care Clinic LLC's NPI number?

The NPI number for Aban Care Clinic LLC is 1649366378. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Aban Care Clinic LLC located?

Aban Care Clinic LLC is located at 2182 Highway 95, Bullhead City, AZ 86442. The listed phone number is (928) 758-6420.

What is Aban Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Aban Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1063473) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aban Care Clinic LLC accept?

Health plans from Ambetter from Arizona Complete Health list Aban Care Clinic LLC 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 Aban Care Clinic LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.