Cambridge Medical Center Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

OTC3840 Issued in AZ

Legal business name

CAMBRIDGE MEDICAL CENTER URGENT CARE

Doing business as

Cambridge Medical Center Urgent Care

Practice address

13624 W Camino del Sol
Suite 100
Sun City West, AZ 85375-3403

Phone

(623) 214-1717

Fax

(623) 214-2593

NPI assigned

Sep 23, 2008

Organization subpart

Yes

Parent organization

CAMBRIDGE MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Kikue Lynch

Title

Administrator

Phone

(623) 707-3312

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CAMBRIDGE MEDICAL CENTER URGENT CARE Doing business as

Tax ID family

Cambridge Medical Center Urgent Care2 organizations share this tax ID, including this one

Part of

Cambridge Medical Center Urgent Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Farid Ghebleh MD PC

  • Pulmonary Disease Physician
  • Chandler, AZ
  • NPI 1508962523
  NPD tax ID

Locations

Practitioners 1

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.

• Farid Ghebleh, MD

  • Pulmonary Disease Physician
  • Paradise Valley, AZ
  • NPI 1992746408

  Critical Care Medicine

  NPD

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1184874414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD STE 200623",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "602-909-0909",
            "fax_number": "623-214-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 W CAMINO DEL SOL",
            "address_2": "SUITE 100",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853753403",
            "telephone_number": "623-214-1717",
            "fax_number": "623-214-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE MEDICAL CENTER URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMBRIDGE MEDICAL CENTER",
        "enumeration_date": "2008-09-23",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KIKUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-707-3312"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87026",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMBRIDGE MEDICAL CENTER URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAMBRIDGE MEDICAL CENTER URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lysa Marie Busalacchi, DNP
• Paul Raymond Butzine, MD
• Heather Cairo
• Carina Calugaru, FNP-BC
• Victor Camargo, PHARMD
• Camino Eye Clinic, LLC
• Mark Doran Campbell, MD
• Matthias Campion, DNAP, CRNA
• Nicholas Cano, RBT
• Capriole Therapeutic Services

• Urgent Care Clinic/Center in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.