Desert Sun Medical Corporation PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

OTC2700 Issued in AZ

Legal business name

DESERT SUN MEDICAL CORPORATION PC

Doing business as

Advanced Urgent Care

Practice address

1804 W Elliot Rd
Tempe, AZ 85284

Phone

(480) 456-0444

Fax

(480) 456-0449

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Renee L Biskupski

Title

VP of Operations

Phone

(602) 433-1822

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Urgent Care Doing business as

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1932186335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85064",
            "telephone_number": "602-433-1822",
            "fax_number": "602-246-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W ELLIOT RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "480-456-0444",
            "fax_number": "480-456-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SUN MEDICAL CORPORATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BISKUPSKI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "602-433-1822"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC2700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Tempe, AZ
• Providers in Tempe, 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 Mar 19, 2008; 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.