Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Yavapai Community Hospital Association

Organization Surgery Physician · NPI 1649464454

Yavapai Community Hospital Association provides Surgery Physician services in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2

Practice location Address checks out

804 Ainsworth Dr Ste 103
Prescott, AZ 86301-1624
Phone: (928) 445-2700
Fax: (928) 771-5785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence H0115 (AZ)
Surgery Physician Taxonomy 208600000X · Licence H3964 (AZ)

Record details

NPI number1649464454
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationYavapai Community Hospital Association
Authorized official Lee Livin — Chief Financial Officer · (928) 771-5691
Other names Yavapai Regional Medical Center General Surgery
NPI enumeratedSeptember 5, 2007
Last updated in NPPESJuly 21, 2022
Mailing address1003 Willow Creek Road, Prescott, AZ 86301-1641

Other providers in Prescott