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PURA PRIMARY CARE
NPI 1750158036
Internal Medicine in Phoenix, AZ

Active since December 07, 2023CLIA 03D2297342 · Waiver
9305 W THOMAS RD STE 285, PHOENIX, AZ 85037(602) 677-3801 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pura Primary Care NPPES

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

PURA PRIMARY CARE (NPI 1750158036) is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Fallon R Damico, Owner, as its authorized official.

NPPES Registry Identity

NPI1750158036
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePURA PRIMARY CARE
Location Address9305 W THOMAS RD STE 285Phoenix, AZ 85037-3365
Mailing Address9305 W Thomas Rd Ste 285Phoenix, AZ 85037-3365 · (602) 677-3801
Phone(602) 677-3801
Organization SubpartYes
Authorized OfficialFallon R DamicoOwner · (602) 670-5413
Enumeration DateDecember 7, 2023
Last NPPES UpdateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1750158036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9305 W THOMAS RD STE 285, Phoenix, AZ 85037
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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

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 03D2297342

Pura Primary Care · Phoenix, AZ
Active · expires Jan 15, 2028
CLIA Number03D2297342
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorJonathan Kelley
Laboratory Phone(602) 368-2040
Laboratory LocationPura Primary Care9305 W Thomas Rd Ste 285, Phoenix, AZ 85037
CLIA data matches this NPI record on: Address Name
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.

FALLON RAYNE DAMICO PA-C
Physician Assistant (Medical)
9305 W THOMAS RD STE 285
PHOENIX, AZ 85037
Maricopa County (602) 677-3801

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 Pura Primary Care's NPI number?

The NPI number for Pura Primary Care is 1750158036. It was assigned to this organization in the NPPES registry on December 7, 2023.

Where is Pura Primary Care located?

Pura Primary Care is located at 9305 W Thomas Rd Ste 285, Phoenix, AZ 85037. The listed phone number is (602) 677-3801.

What is Pura Primary Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Pura Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2297342) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pura Primary Care was last updated on January 15, 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.