Elite Primary Care – Multi-Specialty Clinic/Center, NPI 1174062376

Elite Primary Care is a healthcare provider. based in Salt lake city, Utah. specializing in Multi-Specialty Clinic/Center. The organization holds a License No. 9140789-1205 (UT). The NPI Number for Elite Primary Care is 1174062376

Main info

Organization
Name
Elite Primary Care
NPI
1174062376
Phone
(801) 869-4100
Address
1250 E 3900 S STE 440
Authorized Official
DR. BRIAN LILJENQUIST MANAGING PARTNER DPM
Enumeration Date
21 February 2017
Last Update Date
16 June 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:9State licenses:4Digital endpointsUpdated within 12 months

Provider Addresses for Elite Primary Care

  • 1250 E 3900 S STE 440

    SALT LAKE CITY, UT 841241349

    Phone: (801) 869-4100

    Fax: (801) 869-4119

    Type: Mailing

  • 325 W Center St

    Spanish Fork, UT 846602060

    Phone: (801) 999-0261

    Fax: (844) 436-6836

    Type: Location

  • 1250 E 3900 S Ste 440

    Salt Lake City, UT 841241349

    Phone: (801) 999-0261

    Fax: (844) 436-6836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84124)

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Reviews

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Frequently asked questions

What unique ID ties claims to Elite Primary Care?
NPI 1174062376 is assigned to Elite Primary Care under the national enumeration system.
Is Elite Primary Care's NPI currently valid?
The extract we use shows Elite Primary Care as active.
What field does Elite Primary Care work in?
You can think of Elite Primary Care as practicing within Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place Elite Primary Care?
The snapshot lists Salt Lake City, Utah for Elite Primary Care; download NPPES for the complete set.
How can I contact Elite Primary Care?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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