Ucr Medical Group PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4509 Issued in AZ

Legal business name

UCR MEDICAL GROUP PLLC

Practice address

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

Phone

(480) 855-7585

Fax

(480) 855-0912

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Daryn D Krywko

Title

Ceo

Phone

(480) 406-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619301264",
    "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",
            "fax_number": "480-855-0912"
        },
        {
            "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",
            "fax_number": "480-855-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCR MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KRYWKO",
        "authorized_official_first_name": "DARYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-406-8900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Specialist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.