Old Pueblo Healthcare LLC
NPI 1306890793 · Nurse Practitioner · Tucson, AZ
Old Pueblo Healthcare LLC is a Nurse Practitioner organization in Tucson, AZ (NPI 1306890793).
Provider details
- NPI number
- 1306890793
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Michael O'Neil, Ceo(480) 660-6706
- License
- RN069526 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- Optima Medical
- Doing business as
- Optima Medical
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2020-06-15
- Certified
- 2020-06-15
Frequently asked questions
- What is Old Pueblo Healthcare LLC's NPI number?
- Old Pueblo Healthcare LLC's National Provider Identifier (NPI) is 1306890793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Pueblo Healthcare LLC?
- Old Pueblo Healthcare LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Old Pueblo Healthcare LLC located?
- Old Pueblo Healthcare LLC's practice location on file with NPPES is 5981 E Grant Rd, Tucson, AZ 85712.
- What is Old Pueblo Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Pueblo Healthcare LLC is (520) 886-5315.
- Who is the authorized official for Old Pueblo Healthcare LLC?
- The authorized official listed on Old Pueblo Healthcare LLC's NPPES record is Michael O'Neil, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Pueblo Healthcare LLC's NPI active?
- Yes — Old Pueblo Healthcare LLC's NPI (1306890793) is active in the NPPES registry as of the last update on 2020-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.