NPIMap

Organization Active NPI

Quick Med Center LLC

Doing business as InstantMed Primary Care

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1427420504
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OTC7189 Issued in AZ
Legal business name
QUICK MED CENTER LLC
Doing business as
InstantMed Primary Care
Practice address
5104 N 67TH Ave
Glendale, AZ 85303
Phone
(602) 899-4404
Fax
(602) 337-8459
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mr. Kishlay Anand
Title
Owner
Phone
(917) 364-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OTC7189 AZ Primary

Addresses

Primary practice location

5104 N 67TH Ave
Glendale, AZ 85303

Mailing address

5104 N 67TH Ave
Glendale, AZ 85303
Phone (602) 899-4404

Other names 1

  • InstantMed Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Akos3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1427420504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85303",
            "telephone_number": "602-899-4404",
            "fax_number": "602-899-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85303",
            "telephone_number": "602-899-4404",
            "fax_number": "602-337-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK MED CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "KISHLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-364-6662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "OTC7189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InstantMed Primary 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 Mar 2, 2016; 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.