DR JEFF CARLS
NPI 1760093595
Family Medicine in Lake Havasu City, AZ

Active since August 14, 2020CLIA 03D2250631 · Waiver
1720 MESQUITE AVE STE 202, LAKE HAVASU CITY, AZ 86403(928) 855-1550(928) 855-4008 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Oct 26, 2020, Aug 14, 2020 (3 updates tracked since 2020).

About Dr Jeff Carls NPPES

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

DR JEFF CARLS (NPI 1760093595) is a healthcare organization registered as a family medicine in Lake Havasu City, Arizona and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Jeffrey Carls, President, as its authorized official.

NPPES Registry Identity

NPI1760093595
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJCMD, PC
Location Address1720 MESQUITE AVE STE 202Lake Havasu City, AZ 86403-5644
Mailing Address1720 Mesquite Ave Ste 202Lake Havasu City, AZ 86403-5644 · (928) 855-1550 · Fax (928) 855-4008
Fax(928) 855-4008
Organization SubpartNo
Authorized OfficialJeffrey CarlsPresident · (928) 855-1550
Enumeration DateAugust 14, 2020
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1760093595 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.
1720 MESQUITE AVE STE 202, Lake Havasu City, AZ 86403

Other Names 1

Doing Business AsDr Jeff Carls

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 03D2250631

Dr Jeff Carls Family Medicine And Aesthetics · Lake Havasu City, AZ
Active · expires Jan 26, 2028
CLIA Number03D2250631
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorJeffrey J. Carls
Laboratory Phone(928) 855-1550
Laboratory LocationDr Jeff Carls Family Medicine And Aesthetics1720 Mesquite Ave Ste100, Lake Havasu City, AZ 86403
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

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

Internal Medicine (Nephrology)
1720 MESQUITE AVE STE 202
LAKE HAVASU CITY, AZ 86403

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 Jcmd, PC's NPI number?

The NPI number for Jcmd, PC is 1760093595. It was assigned to this organization in the NPPES registry on August 14, 2020. The provider is doing business as Dr Jeff Carls.

Where is Jcmd, PC located?

Jcmd, PC is located at 1720 Mesquite Ave Ste 202, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-1550.

What is Jcmd, PC's specialty?

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

Does Jcmd, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2250631) is associated with this NPI, valid through January 26, 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 Jcmd, PC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.