Active NPI
Quick Med Center LLC
- Family Nurse Practitioner
- Glendale, AZ
National Provider Identifier
1467941195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116132 | Medicaid | AZ |
Other names 1
- AKOS
National Provider Directory
National Provider Directory- Tax ID family
- Akos
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Avondale, AZ
- NPI 1376159053
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1427420504
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.