GRAND WEST FAMILY PRACTICE AND WELLNESS LLC
NPI 1740055599
Family Medicine in Sun City, AZ

Q: What is Grand West Family Practice And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 21, 2023CLIA 03D2294542 · Waiver

13000 N 103RD AVE STE 77, SUN CITY, AZ 85351(480) 284-5650(480) 284-6431 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Nov 21, 2023 (2 updates tracked since 2023).

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About Grand West Family Practice And Wellness Llc NPPES

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

GRAND WEST FAMILY PRACTICE AND WELLNESS LLC (NPI 1740055599) is a healthcare organization registered as a family medicine in Sun City, Arizona and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Shelly Tellman, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1740055599

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGRAND WEST FAMILY PRACTICE AND WELLNESS LLC

Location Address13000 N 103RD AVE STE 77Sun City, AZ 85351-3057

Mailing Address13000 N 103rd Ave Ste 77Sun City, AZ 85351-3057 · (480) 284-5650 · Fax (480) 284-6431

Phone(480) 284-5650

Fax(480) 284-6431

Organization SubpartNo

Authorized OfficialShelly TellmanOwner/manager · (623) 824-5017

Enumeration DateNovember 21, 2023

Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1740055599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

13000 N 103RD AVE STE 77, Sun City, AZ 85351

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Other Names 1

Doing Business AsGrand West Family Practice And Wellness Llc

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 03D2294542

Grand West Family Practice And Wellness LLC · Sun City, AZ

Active · expires Nov 27, 2027

CLIA Number03D2294542

Laboratory TypePractitioner Other

Certificate Effective DateNovember 28, 2025

Certificate Expiration DateNovember 27, 2027

Laboratory DirectorShelly Tellman

Laboratory Phone(623) 824-5017

Laboratory LocationGrand West Family Practice And Wellness LLC13000 N 103rd Ave Ste 77, Sun City, AZ 85351

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SHELLY A TELLMAN FNP-C

Nurse Practitioner (Family)

13000 N 103RD AVE STE 77
SUN CITY, AZ 85351

Maricopa County (480) 284-5650

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 Grand West Family Practice And Wellness LLC's NPI number?

The NPI number for Grand West Family Practice And Wellness LLC is 1740055599. It was assigned to this organization in the NPPES registry on November 21, 2023.

Where is Grand West Family Practice And Wellness LLC located?

Grand West Family Practice And Wellness LLC is located at 13000 N 103rd Ave Ste 77, Sun City, AZ 85351. The listed phone number is (480) 284-5650.

What is Grand West Family Practice And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Grand West Family Practice And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2294542) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand West Family Practice And Wellness LLC was last updated on February 6, 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.