Pueblo Family Physicians Ltd
NPI 1790798072 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1790798072
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pueblo Family Physicians Ltd
- Organization subpart
- Yes
- Authorized official
- Rick Johns, Practice Administrator(602) 850-8913
- License
- 2325 (AZ)
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Pueblo Family Physicians Ltd
Additional practice locations (1)
- 15425 N Greenway Hayden Loop Ste A300Scottsdale, AZ 85260-1204Phone: (480) 607-1124Fax: (480) 607-1087
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2024-02-09
- Certified
- 2024-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.