Healthcare Provider Details

I. General information

NPI: 1124969696
Provider Name (Legal Business Name): RAFIKI MEDICAL PRACTITIONERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23218 W ASHLEIGH MARIE DR
BUCKEYE AZ
85326-4005
US

IV. Provider business mailing address

23218 W ASHLEIGH MARIE DR
BUCKEYE AZ
85326-4005
US

V. Phone/Fax

Practice location:
  • Phone: 623-888-4829
  • Fax:
Mailing address:
  • Phone: 623-888-4829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EVANS MASESE
Title or Position: AGNP-C
Credential:
Phone: 623-888-4829