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MOHAVE PRIMARY CARE
NPI 1700909330
Specialist in Kingman, AZ

Active since April 09, 2007
975 SYCAMORE AVE, KINGMAN, AZ 86409(928) 692-1900(928) 692-7334 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohave Primary Care NPPES

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

MOHAVE PRIMARY CARE (NPI 1700909330) is a healthcare organization registered as a specialist in Kingman, Arizona and active in the NPI registry since April 2007. The organization lists Ilangovan Govindarajan, President, as its authorized official.

NPPES Registry Identity

NPI1700909330
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOHAVE PRIMARY CARE
Location Address975 SYCAMORE AVEKingman, AZ 86409-3548
Mailing Address2183 Seneca StKingman, AZ 86401-6511 · (928) 763-5948
Phone(928) 692-1900
Fax(928) 692-7334
Organization SubpartNo
Authorized OfficialIlangovan GovindarajanPresident · (928) 692-1900
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700909330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 25797
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
975 SYCAMORE AVE, Kingman, AZ 86409
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYCAMORE AVENUE MEDICAL CENTER, PLLC
Nurse Practitioner (Family)
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900
ILANGOVAN GOVINDARAJAN M.D., CMD
Specialist
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900
MS. RUTH ELAINE FOWLER FNP/BC
Nurse Practitioner (Family)
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900

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 Mohave Primary Care's NPI number?

The NPI number for Mohave Primary Care is 1700909330. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Mohave Primary Care located?

Mohave Primary Care is located at 975 Sycamore Ave, Kingman, AZ 86409. The listed phone number is (928) 692-1900.

What is Mohave Primary Care's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mohave Primary Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.