Old Pueblo Mobile Medicine LLC
NPI 1609493402 · Family Medicine Physician · Tucson, AZ
Old Pueblo Mobile Medicine LLC is a Family Medicine Physician organization in Tucson, AZ (NPI 1609493402).
Provider details
- NPI number
- 1609493402
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Davis, Nurse Practitioner(520) 822-4423
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-06-29
- Last updated
- 2020-06-29
- Certified
- 2020-06-29
Frequently asked questions
- What is Old Pueblo Mobile Medicine LLC's NPI number?
- Old Pueblo Mobile Medicine LLC's National Provider Identifier (NPI) is 1609493402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Pueblo Mobile Medicine LLC?
- Old Pueblo Mobile Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Old Pueblo Mobile Medicine LLC located?
- Old Pueblo Mobile Medicine LLC's practice location on file with NPPES is 9721 E Colette St, Tucson, AZ 85748-2756.
- What is Old Pueblo Mobile Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Pueblo Mobile Medicine LLC is (520) 314-1008.
- Who is the authorized official for Old Pueblo Mobile Medicine LLC?
- The authorized official listed on Old Pueblo Mobile Medicine LLC's NPPES record is Amanda Davis, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Pueblo Mobile Medicine LLC's NPI active?
- Yes — Old Pueblo Mobile Medicine LLC's NPI (1609493402) is active in the NPPES registry as of the last update on 2020-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.