Chandler Valley Urgent Care Clinic, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

28539 Issued in AZ

Legal business name

CHANDLER VALLEY URGENT CARE CLINIC, INC.

Practice address

936 W Chandler Blvd
Suite 1
Chandler, AZ 85225-2531

Phone

(480) 792-1025

Fax

(480) 792-1026

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Nicholas Tin Trang, M.D.NPI 1992985428

Title

President

Phone

(480) 792-1025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Tin Trang, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1992985428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1619045846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 W CHANDLER BLVD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252531",
            "telephone_number": "480-792-1025",
            "fax_number": "480-792-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W CHANDLER BLVD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252531",
            "telephone_number": "480-792-1025",
            "fax_number": "480-792-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER VALLEY URGENT CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "TRANG",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "TIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-792-1025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "28539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Surgical Center PLC
• Chandler Therapy Clinic LLC
• Chandler Unified School District
• Chandler United Medical Investors Limited Partnership
• Chandler Urgent Care LLC
• Chandler Wellness House LLC
• Karina Ann Chandler
• Chandmed LLC
• Sudha Chandrasekhar, M.D., M.P.H., IBCLC
• Jahzae Cimone Chaney-Wooten, MCD, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.