Desert Life Primary Care LLC
NPI 1649943655ActiveOrganization· Nurse Practitioner· Mesa, AZ
Nurse Practitioner in Mesa, Arizona, registered in NPPES in July 2021. The authorized official on file is John Woodham, Owner.
Overview
| NPI | 1649943655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2021 |
| Last updated in NPPES | Nov 17, 2021 |
| Certified by provider | Nov 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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