Desert Life Primary Care LLC
NPI 1649943655 · Nurse Practitioner · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Desert Life Primary Care LLC is a Nurse Practitioner organization in Mesa, AZ (NPI 1649943655).
Provider details
- NPI number
- 1649943655
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Woodham, Owner(760) 464-4944
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2021-07-26
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Frequently asked questions
- What is Desert Life Primary Care LLC's NPI number?
- Desert Life Primary Care LLC's National Provider Identifier (NPI) is 1649943655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desert Life Primary Care LLC?
- Desert Life Primary Care LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Desert Life Primary Care LLC located?
- Desert Life Primary Care LLC's practice location on file with NPPES is 3035 S Ellsworth Rd Ste 121, Mesa, AZ 85212-2137.
- What is Desert Life Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Desert Life Primary Care LLC is (480) 280-7229.
- Does Desert Life Primary Care LLC accept Medicare?
- Desert Life Primary Care 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 Desert Life Primary Care LLC?
- The authorized official listed on Desert Life Primary Care LLC's NPPES record is John Woodham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desert Life Primary Care LLC's NPI active?
- Yes — Desert Life Primary Care LLC's NPI (1649943655) is active in the NPPES registry as of the last update on 2021-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.