Ucr Healthcare, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UCR HEALTHCARE, LLC

Practice address

2745 S Alma School Rd Ste 2
Chandler, AZ 85286-4405

Phone

(480) 855-7585

NPI assigned

Sep 17, 2013

Last updated

May 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Ahmann, D.O.

Title

Medical Director

Phone

(480) 855-7585

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1508292970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 S ALMA SCHOOL RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864405",
            "telephone_number": "480-855-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 S ALMA SCHOOL RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864405",
            "telephone_number": "480-855-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "AHMANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-855-7585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "4509",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lloyd Tye
• Tyler Church, MD, PC
• Christopher Jovan Tyler
• Tylers Place Az Inc
• Samuel Oluwaseun Tytler, M.D.
• Ucr Medical Group PLLC
• Ucxtra Umbrella, LLC
• Adrienne Udarbe, RDN
• Mohammad I Uddin, MD
• Ekop S Udofia, PT, DPT

• Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.