Organization Active NPI

Quantum Provider Solutions LLC

  • Multi-Specialty Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1679420160
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
QUANTUM PROVIDER SOLUTIONS LLC
Practice address
10 W Broadway FL 7
Salt Lake City, UT 84101-2060
Phone
(323) 251-7313
NPI assigned
Mar 13, 2026
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Siraje Kakooza
Title
Member
Phone
(323) 251-7313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

10 W Broadway FL 7
Salt Lake City, UT 84101-2060

Mailing address

10 W Broadway
Salt Lake City, UT 84101-2002
Phone (323) 251-7313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1679420160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W BROADWAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012002",
            "telephone_number": "323-251-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W BROADWAY FL 7",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012060",
            "telephone_number": "323-251-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM PROVIDER SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "KAKOOZA",
        "authorized_official_first_name": "SIRAJE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-251-7313"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.