Grand Canyon Medical Clinic PLLC
NPI 1164141065 · Family Nurse Practitioner · Yuma, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Canyon Medical Clinic PLLC is a Family Nurse Practitioner organization in Yuma, AZ (NPI 1164141065).
Provider details
- NPI number
- 1164141065
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Alex Galvez, Owner(928) 350-8507
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-08-24
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Frequently asked questions
- What is Grand Canyon Medical Clinic PLLC's NPI number?
- Grand Canyon Medical Clinic PLLC's National Provider Identifier (NPI) is 1164141065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Canyon Medical Clinic PLLC?
- Grand Canyon Medical Clinic PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grand Canyon Medical Clinic PLLC located?
- Grand Canyon Medical Clinic PLLC's practice location on file with NPPES is 1841 W 25th St Ste B, Yuma, AZ 85364-6931.
- What is Grand Canyon Medical Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Canyon Medical Clinic PLLC is (928) 503-7246.
- Does Grand Canyon Medical Clinic PLLC accept Medicare?
- Grand Canyon Medical Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Canyon Medical Clinic PLLC?
- The authorized official listed on Grand Canyon Medical Clinic PLLC's NPPES record is Alex Galvez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Canyon Medical Clinic PLLC's NPI active?
- Yes — Grand Canyon Medical Clinic PLLC's NPI (1164141065) is active in the NPPES registry as of the last update on 2024-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.