Zkala Ic - Myrtle

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ZKALA IC - MYRTLE

Practice address

7112 N 55TH Ave Ste C
Glendale, AZ 85301-0707

Phone

(602) 842-9000

NPI assigned

Sep 27, 2022

Organization subpart

Yes

Parent organization

Z'KALA, LLCAs reported in NPPES

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

Authorized official

Name

Javan Lee

Title

Executive Leadership

Phone

(623) 777-8339

Specialties & licenses 7

Addresses

Electronic endpoints 1

Part of

Z'Kala LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Z'Kala, LLC

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1801544622
  NPPES parent name

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1275257917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N 19TH AVE STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215160",
            "telephone_number": "623-842-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 N 55TH AVE STE C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853010707",
            "telephone_number": "602-842-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZKALA IC - MYRTLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "Z'KALA, LLC",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAVAN",
        "authorized_official_title_or_position": "EXECUTIVE LEADERSHIP",
        "authorized_official_telephone_number": "623-777-8339"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ICANotes",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "address_1": "7112 N 55th Ave Ste C",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853010707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsey Nicole Zimmerman
• Elizabeth Amay Zingg
• Maria Zinici
• Ezekias John Zink, PA-C
• Kayla Ziolko, M.S.ED
• Paul Jacob Zloto, D.C.
• Mohanad Znbaqa, PHARMD
• Princess Zoaryan
• Zoe Counseling Center LLC
• Laken Zollman

• Multi-Specialty Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

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