OrganizationActive
San Carlos Apache Healthcare Corporation
NPI 1992154694 · Family Medicine Physician · Peridot, AZ
Provider details
- NPI number
- 1992154694
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- San Carlos Apache Healthcare Corporation
- Organization subpart
- Yes
- Authorized official
- Victoria Began, Interim Ceo(928) 475-1200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
103 Medicine Way Road
Peridot, AZ 85542
Phone: (928) 475-1200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 787
Peridot, AZ 85542-0787
Registry dates
- Enumerated
- 2016-06-03
- Last updated
- 2016-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.