NPIMap

Organization Active NPI

5 Minute Walk-in Clinic LLC

  • Physician Assistant
  • San Luis, AZ
National Provider Identifier
1154645273
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3434 Issued in AZ
Legal business name
5 MINUTE WALK-IN CLINIC LLC
Practice address
1962 E. Juan Sanchez Blvd
Ste C-2
San Luis, AZ 85349
Phone
(928) 627-4963
Fax
(928) 627-9105
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Gilbert Vega, PA-C
Title
Owner
Phone
(928) 503-4261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 3434 AZ Primary

Addresses

Primary practice location

1962 E. Juan Sanchez Blvd
Ste C-2
San Luis, AZ 85349

Mailing address

1962 E. Juan Sanchez Blvd
Ste C-2
San Luis, AZ 85349
Phone (928) 627-4963

National Provider Directory

National Provider Directory

Locations

1962 E Juan Sanchez Blvd
#C2
San Luis, AZ 85336
Phone (928) 627-4825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1154645273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 E. JUAN SANCHEZ BLVD",
            "address_2": "STE C-2",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-627-4963",
            "fax_number": "928-627-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 E. JUAN SANCHEZ BLVD",
            "address_2": "STE C-2",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-627-4963",
            "fax_number": "928-627-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 MINUTE WALK-IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-503-4261",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.