Individual provider Active NPI

Isaac Urquilla

  • Student in an Organized Health Care Education/Training Program
  • Mesa, AZ
National Provider Identifier
1871405084
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5835 E Still Cir
Mesa, AZ 85206-3618
Phone
(661) 524-4122
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Mailing address

4510 E Banner Gateway Dr Apt 3058
Mesa, AZ 85206-4759
Phone (661) 524-4122

Other practice location 1

44621 Overland Ave
Lancaster, CA 93536-6463
Phone (661) 524-4122

Other practice location 2

4510 E Banner Gateway Dr Apt 3058
Mesa, AZ 85206-4759
Phone (661) 524-4122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1871405084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E BANNER GATEWAY DR APT 3058",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064759",
            "telephone_number": "661-524-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "661-524-4122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44621 Overland Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935366463",
            "country_code": "US",
            "telephone_number": "661-524-4122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 E Banner Gateway Dr Apt 3058",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064759",
            "country_code": "US",
            "telephone_number": "661-524-4122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URQUILLA",
        "first_name": "ISAAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.