NPIMap

Organization Active NPI

Cigna Health Care of Arizona Inc.

Doing business as CMG Paseo Urgent Care, CMG Paseo AHC

  • Urgent Care Clinic/Center
  • Glendale, AZ
National Provider Identifier
1356445365
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC 0624 Issued in AZ
Legal business name
CIGNA HEALTH CARE OF ARIZONA INC.
Doing business as
CMG Paseo Urgent Care, CMG Paseo AHC
EVERNORTH Care Group Paseo Urgent Care
Practice address
5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone
(602) 588-6600
NPI assigned
Sep 11, 2006
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Kevin Ellis, D.O.
Title
Chief Medical Director
Phone
(623) 277-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC 0624 AZ Primary

Addresses

Primary practice location

5891 W Eugie Ave
Glendale, AZ 85304-1252

Mailing address

8888 E Raintree Dr FL 3
Scottsdale, AZ 85260-3951
Phone (602) 328-8400

Other identifiers 1

IdentifierTypeStateIssuer
061721MedicaidAZ

Other names 2

  • CMG Paseo Urgent Care, CMG Paseo AHC Doing business as
  • EVERNORTH Care Group Paseo Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1356445365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 E RAINTREE DR FL 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603951",
            "telephone_number": "602-328-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5891 W EUGIE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041252",
            "telephone_number": "602-588-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTH CARE OF ARIZONA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-277-2246",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC 0624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061721",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMG Paseo Urgent Care, CMG Paseo AHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMG Paseo Urgent Care, CMG Paseo AHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EVERNORTH Care Group Paseo Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.