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DESERT SPURS PRIMARY CARE, PLLC
NPI 1730634965
Family Medicine in Bullhead City, AZ

Active since August 17, 2016CLIA 03D2119948 · Waiver
1355 RAMAR RD, STE. 10, BULLHEAD CITY, AZ 86442(928) 444-8405(928) 299-5300 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desert Spurs Primary Care, Pllc NPPES

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

DESERT SPURS PRIMARY CARE, PLLC (NPI 1730634965) is a healthcare organization registered as a family medicine in Bullhead City, Arizona and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Robert J Bazaco, Owner, as its authorized official.

NPPES Registry Identity

NPI1730634965
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESERT SPURS PRIMARY CARE, PLLC
Location Address1355 RAMAR RD, STE. 10Bullhead City, AZ 86442-7100
Mailing Address251 Moser Ave, Apt. 105Bullhead City, AZ 86429-5240 · (210) 464-8311
Phone(928) 444-8405
Fax(928) 299-5300
Organization SubpartNo
Authorized OfficialRobert J BazacoOwner · (210) 464-8311
Enumeration DateAugust 17, 2016
✔ NPI 1730634965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 48283
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.

1355 RAMAR RD, Bullhead City, AZ 86442
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Other Identifiers 1

OtherP20970983AZ · Corporation Id#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 03D2119948

Desert Spurs Primary Care, PLLC · Bullhead City, AZ
Active · expires Oct 5, 2026
CLIA Number03D2119948
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorRobert J. Bazaco
Laboratory Phone(928) 444-8405
Laboratory LocationDesert Spurs Primary Care, PLLC2400 Highway 95 Ste 50, Bullhead City, AZ 86442
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DONALD J WAGNER D.O.
Family Medicine
1355 RAMAR RD, STE 11
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-7202
DARLENE M LEFTWICH PA
Physician Assistant
1355 RAMAR RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-9202
THOMAS G DALLMAN MD PC
Internal Medicine (Hepatology)
1355 RAMAR RD, SUITE 12
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-9505
DR. THOMAS GARY DALLMAN M.D.
Internal Medicine
1355 RAMAR RD, SUITE 12
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-9505
BULLHEAD URGENT CARE CORP
Family Medicine
1355 RAMAR RD, STE 11
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-9202

Frequently Asked Questions

What is DESERT SPURS PRIMARY CARE, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1730634965, enumerated as an "organization" on August 17, 2016.

Where is the provider located?

The provider is located at 1355 RAMAR RD STE. 10 BULLHEAD CITY, AZ 86442 and the phone number is (928) 444-8405.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does DESERT SPURS PRIMARY CARE, PLLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.