OrganizationActive
Oasis Medical Group, LLC
NPI 1114239019 · Family Medicine Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1114239019
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Mitchell, Owner(928) 453-1101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2035 Mesquite Ave
Suite C
Lake Havasu City, AZ 86403-5894
Phone: (928) 453-1101
Fax: (928) 453-1171
Street-level locationGet directions
Mailing address
P.o. Box 1185
Lake Havasu City, AZ 86405-1185
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2011-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.