NPIMap

Organization Active NPI

Total Medical Care, LLC

  • Primary Care Clinic/Center
  • Glendale, AZ
National Provider Identifier
1639306731
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TOTAL MEDICAL CARE, LLC
Practice address
5048 W. Northern Avenue
Suite 106
Glendale, AZ 85301
Phone
(623) 435-0190
Fax
(623) 435-0193
NPI assigned
Jun 16, 2009
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dr. Ahmad Z. Qasimyar, M.D.NPI 1366546665
Title
Medical Director
Phone
(703) 628-3149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

5048 W. Northern Avenue
Suite 106
Glendale, AZ 85301

Mailing address

5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558
Phone (623) 435-0190

Other identifiers 2

IdentifierTypeStateIssuer
441696MedicaidAZ
823215MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091007000482 AZ Part B Supplier - Clinic/Group Practice 2860538790 Receives reassigned benefits from 22 practitioners
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

5048 W Northern Ave
Ste 105
Glendale, AZ 85301
Phone (623) 435-0190

5048 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (623) 435-0190

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1639306731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 W NORTHERN AVE STE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011558",
            "telephone_number": "623-435-0190",
            "fax_number": "623-435-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 W. NORTHERN AVENUE",
            "address_2": "SUITE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85301",
            "telephone_number": "623-435-0190",
            "fax_number": "623-435-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "QASIMYAR",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-628-3149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441696",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823215",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.