Peralta Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PERALTA URGENT CARE

Practice address

6740 S Kings Ranch Rd
Suite 102
Gold Canyon, AZ 85118-2961

Phone

(480) 616-2500

Fax

(480) 845-1008

NPI assigned

Mar 9, 2016

Last updated

Aug 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zelalem Yilma, MDNPI 1164421251

Title

Medical Director

Phone

(480) 616-2500

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 2

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.

• Zelalem Yilma, M.D.

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1164421251
  Medicare reassignment NPD Authorized official
• Virginia I Greene, FNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1760758981
  Medicare reassignment NPD

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1700247335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 S KINGS RANCH RD",
            "address_2": "SUITE 102",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182961",
            "telephone_number": "480-616-2500",
            "fax_number": "480-845-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 S KINGS RANCH RD",
            "address_2": "SUITE 102",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182961",
            "telephone_number": "480-616-2500",
            "fax_number": "480-845-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERALTA URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "YILMA",
        "authorized_official_first_name": "ZELALEM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-616-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie M. McIrvin, LCSW
• McMahon, DDS, Inc (Gold Canyon Dentistry)
• Pamela Ann McMahon, DDS
• Aaron Udell Miller, D.C.
• Linda Carol Newell, M.D.
• Pharmacy One LLC (Gold Canyon Pharmacy)
• Physical Therapy Clinic of Gold Canyon
• Jacqueline M Potokar, CERTIFIED CARE GIVER
• Jordan Christopher Pozniak, P.T, DPT
• Raley's Arizona LLC (Bashas)

• Urgent Care Clinic/Center in Gold Canyon, AZ
• Providers in Gold Canyon, 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 Aug 8, 2016; 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.