OrganizationActive
Innovative Primary Care of Havasu LLC
NPI 1619633088 · Primary Care Clinic/Center · Lake Havasu City, AZ
Provider details
- NPI number
- 1619633088
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Loida Arquiza, Primary Provider(240) 535-0065
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1945 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5889
Phone: (928) 733-6287
Fax: (928) 733-6305
Street-level locationGet directions
Mailing address
1945 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5889
Other names (DBA / former)
- Doing business as
- Innovative Primary Care Clinic of Havasu
Registry dates
- Enumerated
- 2021-11-10
- Last updated
- 2021-11-10
- Certified
- 2021-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.