San Jose Integrated Clinic LLC
NPI 1386287753 · Family Nurse Practitioner · San Luis, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Jose Integrated Clinic LLC is a Family Nurse Practitioner organization in San Luis, AZ (NPI 1386287753).
Provider details
- NPI number
- 1386287753
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Clarisse Nguehanana, Ceo(928) 722-6098
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
6 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
- 2019-10-17
- Last updated
- 2019-10-17
Frequently asked questions
- What is San Jose Integrated Clinic LLC's NPI number?
- San Jose Integrated Clinic LLC's National Provider Identifier (NPI) is 1386287753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Jose Integrated Clinic LLC?
- San Jose Integrated Clinic LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is San Jose Integrated Clinic LLC located?
- San Jose Integrated Clinic LLC's practice location on file with NPPES is 2000 E Juan Sanchez Blvd, San Luis, AZ 85336-0481.
- What is San Jose Integrated Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for San Jose Integrated Clinic LLC is (928) 722-6098.
- Does San Jose Integrated Clinic LLC accept Medicare?
- San Jose Integrated Clinic LLC 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 San Jose Integrated Clinic LLC?
- The authorized official listed on San Jose Integrated Clinic LLC's NPPES record is Clarisse Nguehanana, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Jose Integrated Clinic LLC's NPI active?
- Yes — San Jose Integrated Clinic LLC's NPI (1386287753) is active in the NPPES registry as of the last update on 2019-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.