Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desert Life Primary Care LLC

Organization Family Medicine Physician · NPI 1649943655

Desert Life Primary Care LLC is a Family Medicine Physician in Mesa, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3035 S Ellsworth Rd Ste 121
Mesa, AZ 85212-2137
Phone: (480) 280-7229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Medicine Physician Taxonomy 207Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1649943655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Woodham — Owner · (760) 464-4944
NPI enumeratedJuly 26, 2021
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing address3035 S Ellsworth Rd Ste 121, Mesa, AZ 85212-2137

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