1. Home
  2. Directory
  3. Arizona
  4. Flagstaff
  5. Family Medicine
  6. NPI Profile

OPTUM PRIMARY CARE
NPI 1699724039
Family Medicine in Flagstaff, AZ

Active since May 10, 2006CLIA 03D2087547 · Waiver
1501 S YALE ST STE 150, FLAGSTAFF, AZ 86001(928) 527-4325(928) 527-4327 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Sep 2, 2023, Nov 11, 2021 and 1 more (4 updates tracked since 2016).

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

NPI1699724039
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOC MARTINS INC A C C
Location Address1501 S YALE ST STE 150Flagstaff, AZ 86001-7337
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 954-7761
Phone(928) 527-4325
Fax(928) 527-4327
Organization SubpartNo
Authorized OfficialEmily CastilloRegional Manager · (702) 480-2550
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1699724039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 32052
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 32051 (AZ)
1501 S YALE ST STE 150, Flagstaff, AZ 86001
Open in Google Maps ↗

Other Names 2

Doing Business AsOptum Primary Care
Doing Business AsFlagstaff Family Care Clinic

Secondary Practice Location 1

Location 12001 N 4th StFlagstaff, AZ 86004-4227 · Phone (928) 527-4325 · Fax (928) 527-4327

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

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, AZ
Active · expires Nov 25, 2026
CLIA Number03D2087547
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorLeo Odle
Laboratory Phone(928) 527-4325
Laboratory LocationOptum Primary Care - N Fourth St2001 N 4th Street, Flagstaff, AZ 86004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.