OPTUM PRIMARY CARE
NPI 1699724039
Family Medicine in Flagstaff, AZ
About Optum Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTUM PRIMARY CARE (NPI 1699724039) is a healthcare organization registered as a family medicine in Flagstaff, Arizona and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 25, 2026, maintains a secondary practice location in Flagstaff, and lists Emily Castillo, Regional Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Secondary Practice Location 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)
Optum Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Optum Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 03D2087547
Optum Primary Care - N Fourth St · Flagstaff, 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 Doc Martins Inc A C C's NPI number?
The NPI number for Doc Martins Inc A C C is 1699724039. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is doing business as Optum Primary Care and Flagstaff Family Care Clinic.
Where is Doc Martins Inc A C C located?
Doc Martins Inc A C C is located at 1501 S Yale St Ste 150, Flagstaff, AZ 86001. The listed phone number is (928) 527-4325.
What is Doc Martins Inc A C C's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Doc Martins Inc A C C enrolled in Medicare?
Yes. Doc Martins Inc A C C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Doc Martins Inc A C C?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Doc Martins Inc A C C. 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. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Doc Martins Inc A C C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2087547) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Doc Martins Inc A C C was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Optum Primary Care · NPI 1699724039
Family Medicine organization in Flagstaff, Arizona. Organization record, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1699724039 (Entity type: Organization)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Doc Martins Inc A C C
- **Also known as:** Flagstaff Family Care Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Emily Castillo, REGIONAL MANAGER
## Practice location
- **Address:** 1501 S YALE ST STE 150, Flagstaff, AZ 86001-7337
- **Phone:** (928) 527-4325 · **Fax:** (928) 527-4327
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Internal Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699724039) · Data from the CMS NPPES public registry.