FOOTHILLS BLVD CLINIC, LLC
NPI 1801922356
Family Medicine in Yuma, AZ

Active since February 26, 2007
11611 S FOOTHILLS BLVD, SUITE C, YUMA, AZ 85367(928) 342-1814(928) 342-6154 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Foothills Blvd Clinic, Llc NPPES

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

FOOTHILLS BLVD CLINIC, LLC (NPI 1801922356) is a healthcare organization registered as a family medicine in Yuma, Arizona and active in the NPI registry since February 2007. The organization lists Stamatia Fissas Gockel, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1801922356
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFOOTHILLS BLVD CLINIC LLC
Location Address11611 S FOOTHILLS BLVD, SUITE CYuma, AZ 85367
Mailing Address11611 S Foothills Blvd, Suite CYuma, AZ 85367 · (928) 342-1814 · Fax (928) 342-6154
Fax(928) 342-6154
Organization SubpartNo
Authorized OfficialStamatia Fissas GockelOwner/physician · (928) 342-1814
Enumeration DateFebruary 26, 2007
Last NPPES UpdateFebruary 3, 2012
NPI 1801922356 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.
11611 S FOOTHILLS BLVD, Yuma, AZ 85367

Other Names 1

Doing Business AsFoothills Blvd Clinic, Llc

Other Identifiers 1

Medicare UPINF68156AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Foothills Blvd Clinic LLC's NPI number?

The NPI number for Foothills Blvd Clinic LLC is 1801922356. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Foothills Blvd Clinic, LLC.

Where is Foothills Blvd Clinic LLC located?

Foothills Blvd Clinic LLC is located at 11611 S Foothills Blvd Suite C, Yuma, AZ 85367. The listed phone number is (928) 342-1814.

What is Foothills Blvd Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Foothills Blvd Clinic LLC was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.