NPIMap

Organization Active NPI

19TH Avenue Clinic LLC

Doing business as Advanced Urgent Care

  • Urgent Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1053667709
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
19TH AVENUE CLINIC LLC
Doing business as
Advanced Urgent Care
Practice address
835 W University Dr
Mesa, AZ 85201-5555
Phone
(480) 664-6007
Fax
(480) 664-6017
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Ms. Renee L Biskupski
Title
VP of Operations
Phone
(602) 433-1822

Specialties & licenses 1

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

Addresses

Primary practice location

835 W University Dr
Mesa, AZ 85201-5555

Mailing address

PO Box 32950
Phoenix, AZ 85064-2950
Phone (602) 275-6110

Other names 1

  • ADVANCED URGENT CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2423 W Dunlap Ave
Ste 150
Phoenix, AZ 85021
Phone (602) 216-6862

5201 N 19th Ave
Ste 121
Phoenix, AZ 85015
Phone (602) 433-1822

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1053667709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642950",
            "telephone_number": "602-275-6110",
            "fax_number": "602-242-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015555",
            "telephone_number": "480-664-6007",
            "fax_number": "480-664-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "19TH AVENUE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "BISKUPSKI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "602-433-1822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.