NPIMap

Organization Active NPI

Phylogenesis Financial Holdings LLC

  • Urgent Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1801444013
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PHYLOGENESIS FINANCIAL HOLDINGS LLC
Practice address
7615 E Baseline Rd
Mesa, AZ 85209
Phone
(602) 206-2017
NPI assigned
Aug 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Fawn BoonstraNPI 1902359771
Title
Owner
Phone
(480) 286-7907

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 1

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

Addresses

Primary practice location

7615 E Baseline Rd
Mesa, AZ 85209

Mailing address

771 S Cornwall Dr
Apache Junction, AZ 85120-4812
Phone (480) 286-7907

Other names 1

  • ONESTOP URGENT AND MEDICAL CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1801444013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 S CORNWALL DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851204812",
            "telephone_number": "480-286-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "602-206-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLOGENESIS FINANCIAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "BOONSTRA",
        "authorized_official_first_name": "FAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-286-7907"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONESTOP URGENT AND MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.