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

Grand Canyon Medical Clinic PLLC

Organization Clinic/Center · NPI 1164141065

Grand Canyon Medical Clinic PLLC is a Clinic/Center in Yuma, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1841 W 25th St Ste B
Yuma, AZ 85364-6931
Phone: (928) 503-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1164141065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Galvez — Owner · (928) 350-8507
NPI enumeratedAugust 24, 2022
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address1329 W 20th St, Yuma, AZ 85364-5321

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