Carelock, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CARELOCK, LLC

Doing business as

Chino Urgent Care

Practice address

1934 N Highway 89
Chino Valley, AZ 86323-5643

Phone

(213) 341-2701

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

John S. Gilliam, MDNPI 1003877085

Title

Medical Director

Phone

(405) 590-8861

Specialties & licenses 1

Addresses

Other names 1

• Chino Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carelock, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1245795459

  O20190430001326

  Same enrollment

Practitioners 4

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

• John S. Gilliam, MD

  • Family Medicine Physician
  • Mayer, AZ
  • NPI 1003877085
  NPD Authorized official
• Cindy Marie Brown, FNP-C

  • Family Nurse Practitioner
  • Mayer, AZ
  • NPI 1265693881
  NPD
• Mary Elizabeth Massieu, DNP, FNP -C

  • Family Nurse Practitioner
  • Dewey, AZ
  • NPI 1144644287
  NPD
• Marley Lynn Meyer, FNP-C

  • Family Nurse Practitioner
  • Camp Verde, AZ
  • NPI 1346839420
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1366181703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY STE B111-438",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602217",
            "telephone_number": "405-590-8861",
            "fax_number": "888-389-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 N HIGHWAY 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235643",
            "telephone_number": "213-341-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-590-8861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chino Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Joseph Brown, D.O.
• Stephen James Brown, D.M.D.
• Michael Burkhart
• Sydney Rae Busker, OTD
• Carebridge Health PLLC
• Chino Valley Bible Church
• Chino Valley Chiropractic Clinic (Bowen Chiropractic and Wellness Center)
• Chino Valley PDC PLLC (Horizon Dental)
• Chino Valley Unified School District
• Philana Cicolello

• Urgent Care Clinic/Center in Chino Valley, AZ
• Providers in Chino Valley, 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 Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.