DESERT LIFE PRIMARY CARE LLC
NPI 1649943655
Nurse Practitioner in Mesa, AZ

Q: What is Desert Life Primary Care LLC's NPI number?

The NPI number for Desert Life Primary Care LLC is 1649943655. It was assigned to this organization in the NPPES registry on July 26, 2021.

Q: What is Desert Life Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 26, 2021

3035 S ELLSWORTH RD STE 121, MESA, AZ 85212(480) 280-7229 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2021, Aug 26, 2021, Jul 26, 2021 (3 updates tracked since 2021).

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About Desert Life Primary Care Llc NPPES

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

DESERT LIFE PRIMARY CARE LLC (NPI 1649943655) is a healthcare organization registered as a nurse practitioner in Mesa, Arizona and active in the NPI registry since July 2021. The organization lists John Woodham, Owner, as its authorized official.

NPPES Registry Identity

NPI1649943655

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameDESERT LIFE PRIMARY CARE LLC

Location Address3035 S ELLSWORTH RD STE 121Mesa, AZ 85212-2137

Mailing Address3035 S Ellsworth Rd Ste 121Mesa, AZ 85212-2137

Phone(480) 280-7229

Organization SubpartNo

Authorized OfficialJohn WoodhamOwner · (760) 464-4944

Enumeration DateJuly 26, 2021

Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration

NPPES CertifiedNovember 17, 2021

✔ NPI 1649943655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

3035 S ELLSWORTH RD STE 121, Mesa, AZ 85212

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Desert Life Primary Care LLC's NPI number?

The NPI number for Desert Life Primary Care LLC is 1649943655. It was assigned to this organization in the NPPES registry on July 26, 2021.

Where is Desert Life Primary Care LLC located?

Desert Life Primary Care LLC is located at 3035 S Ellsworth Rd Ste 121, Mesa, AZ 85212. The listed phone number is (480) 280-7229.

What is Desert Life Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Desert Life Primary Care LLC was last updated on November 17, 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.