Active NPI
6730 W Camelback Road LLC Dba Instantmed Health Center
- Urgent Care Clinic/Center
- Glendale, AZ
National Provider Identifier
1932581766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- 6730 W CAMELBACK ROAD LLC DBA INSTANTMED HEALTH CENTER
- Practice address
- 5104 N 67TH Ave
Glendale, AZ 85303 - Phone
- (602) 899-4404
- Fax
- (602) 899-4408
- NPI assigned
- Jun 29, 2015
- Last updated
- Aug 19, 2015
- 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
- Dr. Rajiv Siddaramu, M.D.
- Title
- Director
- Phone
- (602) 899-4404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
5104 N 67TH Ave
Glendale, AZ 85303
Mailing address
5104 N 67TH Ave
Glendale, AZ 85303
Phone (602) 899-4404
National Provider Directory
National Provider Directory- Tax ID family
- 6730 W Camelback Road LLC Dba Instantmed Health Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba InstantMed Center
- Urgent Care Clinic/Center
- Glendale, AZ
- NPI 1912387895
Locations
5104 N 67th Ave
Glendale, AZ 85301
Phone (602) 773-1234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439942400000",
"number": "1932581766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85303",
"telephone_number": "602-899-4404",
"fax_number": "602-899-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85303",
"telephone_number": "602-899-4404",
"fax_number": "602-899-4408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "6730 W CAMELBACK ROAD LLC DBA INSTANTMED HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-29",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "SIDDARAMU",
"authorized_official_first_name": "RAJIV",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "602-899-4404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.