Organization Active NPI

Quick Med Center LLC

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1467941195
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
QUICK MED CENTER LLC
Practice address
5104 N 67TH Ave
Glendale, AZ 85301-6541
Phone
(602) 899-4404
Fax
(602) 899-4408
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Kishlay Anand, MD
Title
Owner
Phone
(602) 867-8644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5104 N 67TH Ave
Glendale, AZ 85301-6541

Mailing address

PO Box 41638
Phoenix, AZ 85080-1638
Phone (602) 899-4404

Other identifiers 1

IdentifierTypeStateIssuer
116132MedicaidAZ

Other names 1

  • AKOS 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": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1467941195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41638",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801638",
            "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": "853016541",
            "telephone_number": "602-899-4404",
            "fax_number": "602-899-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK MED CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "KISHLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-867-8644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116132",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKOS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AKOS",
            "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 11, 2019; 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.