Organization Active NPI

Family Kare Walk-in Klinic LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1033649876
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FAMILY KARE WALK-IN KLINIC LLC
Practice address
521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241
Phone
(602) 242-5000
Fax
(888) 846-8757
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luz A Lopez, MD
Title
Owner
Phone
(602) 252-1439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241

Mailing address

521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241
Phone (602) 242-5000

Other identifiers 8

IdentifierTypeStateIssuer
238928MedicaidAZ
978254MedicaidAZ
072978MedicaidAZ
601547MedicaidAZ
016438MedicaidAZ
12650354MedicaidAZ
921545MedicaidAZ
928666MedicaidAZ

National Provider Directory

National Provider Directory

Locations

521 W Thomas Rd
Fl 2
Phoenix, AZ 85013
Phone (602) 252-1439

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033649876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134241",
            "telephone_number": "602-242-5000",
            "fax_number": "888-846-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134241",
            "telephone_number": "602-242-5000",
            "fax_number": "888-846-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY KARE WALK-IN KLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-252-1439",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238928",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "978254",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072978",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601547",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016438",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12650354",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "921545",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928666",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.