NPIMap

Organization Active NPI

Ucxtra Umbrella, LLC

Doing business as Urgent Care Extra AZ

  • Urgent Care Clinic/Center
  • Glendale, AZ
National Provider Identifier
1538565049
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UCXTRA UMBRELLA, LLC
Doing business as
Urgent Care Extra AZ
Practice address
6702 W Bethany Home Rd
Suite 13, 14 & 15
Glendale, AZ 85303-4402
Phone
(623) 435-7000
Fax
(623) 435-3947
NPI assigned
Nov 10, 2014
Last updated
Apr 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Mrs. Amy M. Panduro
Title
Director of Operations
Phone
(480) 663-2432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 1518952365 AZ
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

6702 W Bethany Home Rd
Suite 13, 14 & 15
Glendale, AZ 85303-4402

Mailing address

1250 S Clearview Ave
Suite 100
Mesa, AZ 85209-3378
Phone (480) 988-9108

Other names 1

  • Urgent Care Extra AZ Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Valley Urgent Carellc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

6702 W Bethany Home Rd
Ste 13
Glendale, AZ 85303
Phone (623) 435-7000

1250 S Clearview Ave
Ste 100
Mesa, AZ 85209
Phone (480) 423-4670

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1538565049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE",
            "address_2": "SUITE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W BETHANY HOME RD",
            "address_2": "SUITE 13, 14 & 15",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034402",
            "telephone_number": "623-435-7000",
            "fax_number": "623-435-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCXTRA UMBRELLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "PANDURO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-663-2432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "AZ",
            "license": "1518952365",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Extra AZ",
            "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 Apr 3, 2015; 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.