MACHUCA MEDICAL LLC NPI 1053861369

NPI Information

  • NPI: 1053861369
  • Provider Name: MACHUCA MEDICAL LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 36D2123219
  • Address: 7371 BRANDT PIKE STE D
    HUBER HEIGHTS, OH
    ZIP 45424
  • Phone: (937) 795-1101

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NPI Details

MACHUCA MEDICAL LLC is a family medicine in Huber Heights, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MACHUCA MEDICAL LLC NPI is 1053861369. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

7371 BRANDT PIKE STE D
HUBER HEIGHTS, OH
ZIP 45424-276
Phone: (937) 795-1101
Fax: (937) 795-1120

The provider's authorized official is Jennifer Machuca .
The authorized official title is Owner/solo Physician/office Manager and has the following contact phone number (937) 795-1101.

The CLIA number assigned to this NPI record is 36D2123219 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2016 and was last updated on 8/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2207Q00000XFamily Medicine92123OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H598960OTHERPTAN
21053861369OTHERGROUP NPI
3CS1721200145MEDICAIDOHIO
41669694246OTHERINDIVIDUAL NPI
5CS1721200142MEDICAIDOHIO
62893301MEDICAIDOHIO
7MA4253051OTHERLEGACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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