COMMUNITY PRIMARY CARE LLC
NPI 1659041580
Clinic/Center - Multi-Specialty in Sun City West, AZ

Active since September 13, 2021
13624 W CAMINO DEL SOL STE 150, SUN CITY WEST, AZ 85375(623) 328-7087(623) 218-1337 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2021, Sep 13, 2021 (2 updates tracked since 2021).

About Community Primary Care Llc NPPES

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

COMMUNITY PRIMARY CARE LLC (NPI 1659041580) is a healthcare organization registered as a multi-specialty in Sun City West, Arizona and active in the NPI registry since September 2021. The organization lists Aziz Mallik, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1659041580
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOMMUNITY PRIMARY CARE LLC
Location Address13624 W CAMINO DEL SOL STE 150Sun City West, AZ 85375-3405
Mailing Address12409 W Indian School Rd Ste A108Avondale, AZ 85392-9503 · (623) 328-7087
Fax(623) 218-1337
Organization SubpartNo
Authorized OfficialAziz MallikManaging Partner · (623) 328-7087
Enumeration DateSeptember 13, 2021
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1659041580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
13624 W CAMINO DEL SOL STE 150, Sun City West, AZ 85375

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)

Community Primary Care Llc 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 Community Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1174018220
17063 W GREENWAY RD # 102
Surprise, AZ 85388
(480) 677-8282
✔ PECOS✔ Accepts Medicare4.6 mi

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 Community Primary Care LLC's NPI number?

The NPI number for Community Primary Care LLC is 1659041580. It was assigned to this organization in the NPPES registry on September 13, 2021.

Where is Community Primary Care LLC located?

Community Primary Care LLC is located at 13624 W Camino Del Sol Ste 150, Sun City West, AZ 85375. The listed phone number is (623) 328-7087.

What is Community Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Community Primary Care LLC enrolled in Medicare?

Yes. Community Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Community Primary Care LLC. 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.

What insurance does Community Primary Care LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Community Primary Care 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 Community Primary Care LLC was last updated on December 22, 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.