Urgent Care Travel, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGENT CARE TRAVEL, INC

Practice address

6700 W Latham St
Phoenix, AZ 85043-1400

Phone

(623) 399-1277

NPI assigned

Sep 4, 2018

Organization subpart

No

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

Authorized official

Name

Deborah Mitchell

Title

Executive Director

Phone

(310) 471-3753

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Ramona Alicia Krutzik, MD

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1881779296

  Single Specialty

  NPD (past)
• Manju Thomson, MSN. CPNP

  • Pediatric Nurse Practitioner
  • Mesa, AZ
  • NPI 1972931640
  NPD (past)
• Keith Henry, ARNP-FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1467012120
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1982186235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 SANTA MONICA BLVD STE 4500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121671",
            "telephone_number": "310-471-3753",
            "fax_number": "310-440-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W LATHAM ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431400",
            "telephone_number": "623-399-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE TRAVEL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-471-3753"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Urdaneta, MD
• Leonel A Urdaneta, MD
• Brenda Urena, LMSW
• Urgent Care of Arizona, LLC
• Urgent Care Plus L.L.C.
• Urgent Detox LLC
• Urgent Home Care Inc
• Urgent Medical Supplies Inc.
• Urgent Pain, LLC
• Urgentmed House Call LLC

• Urgent Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, 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 Feb 4, 2020; 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.