ABAN CARE CLINIC LLC
NPI 1649366378
Specialist in Bullhead City, AZ
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aban Care Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Aban Care Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, AZFrequently 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.
Is Aban Care Clinic LLC enrolled in Medicare?
Yes. Aban Care Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aban Care Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Aban Care Clinic LLC, in Internal Medicine, Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health and 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 15 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.
# Aban Care Clinic Llc · NPI 1649366378
Specialist organization in Bullhead City, Arizona. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1649366378 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Guillermo Zegarra, MEMBER/PHYSICIAN
## Practice location
- **Address:** 2182 HIGHWAY 95, Bullhead City, AZ 86442-6044
- **Phone:** (928) 758-6420 · **Fax:** (928) 758-6509
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1), Obstetrics/Gynecology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2025
- **Other identifiers:** Other 2976 (AZ); Medicaid 932401 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649366378) · Data from the CMS NPPES public registry.