Active NPI
Express Care Clinic
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1912782269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EXPRESS CARE CLINIC
- Practice address
- 5416 E Southern Ave
Mesa, AZ 85206-3622 - Phone
- (800) 688-0388
- NPI assigned
- Aug 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Porter
- Title
- Owner
- Phone
- (206) 492-0723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5416 E Southern Ave
Mesa, AZ 85206-3622
Mailing address
5416 E Southern Ave
Mesa, AZ 85206-3622
Other names 1
- EXPRESS CARE CLINIC LLC
National Provider Directory
National Provider DirectoryLocations
5416 E Southern Ave
Mesa, AZ 85206
Phone (800) 688-0388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752796800000",
"number": "1912782269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5416 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852063622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5416 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852063622",
"telephone_number": "800-688-0388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-25",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-492-0723"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EXPRESS CARE CLINIC LLC",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.