OrganizationActive
Portable Practical Education Preparation Inc.
NPI 1215034590 · Multi-Specialty Clinic/Center · Ajo, AZ
Provider details
- NPI number
- 1215034590
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Arnold, Ceo/Founder(520) 622-3553
- License
- BH387 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
111 La Mina Ave
Room 5
Ajo, AZ 85321-2716
Phone: (520) 387-5232
Fax: (520) 387-5732
Street-level locationGet directions
Mailing address
802 E 46th St
Tucson, AZ 85713-5006
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.