COPPER VALLEY PRIMARY CARE
NPI 1790296853
Nurse Practitioner - Family in Tucson, AZ

Active since October 17, 2017
7290 E BROADWAY BLVD STE 178, TUCSON, AZ 85710(520) 306-7717 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2022, Oct 17, 2017 (2 updates tracked since 2017).

About Copper Valley Primary Care NPPES

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

COPPER VALLEY PRIMARY CARE (NPI 1790296853) is a healthcare organization registered as a family in Tucson, Arizona and active in the NPI registry since October 2017. The organization lists Laura Moncada, Apn, as its authorized official.

NPPES Registry Identity

NPI1790296853
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOPPER VALLEY PRIMARY CARE
Location Address7290 E BROADWAY BLVD STE 178Tucson, AZ 85710-0412
Mailing Address7290 E Broadway Blvd Ste 142Tucson, AZ 85710-0410 · (520) 207-3913 · Fax (520) 207-5451
Organization SubpartNo
Authorized OfficialLaura MoncadaApn · (520) 207-3913
Enumeration DateOctober 17, 2017
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
NPI 1790296853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP7797
7290 E BROADWAY BLVD STE 178, Tucson, AZ 85710

Other Identifiers 1

Medicaid046408AZ

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
7290 E BROADWAY BLVD STE 178
TUCSON, AZ 85710

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 Copper Valley Primary Care's NPI number?

The NPI number for Copper Valley Primary Care is 1790296853. It was assigned to this organization in the NPPES registry on October 17, 2017.

Where is Copper Valley Primary Care located?

Copper Valley Primary Care is located at 7290 E Broadway Blvd Ste 178, Tucson, AZ 85710. The listed phone number is (520) 306-7717.

What is Copper Valley Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Copper Valley Primary Care accept?

Health plans from Ambetter from Arizona Complete Health list Copper Valley Primary Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Copper Valley Primary Care was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.