EAST VALLEY URGENT CARE,LLC (NPI# 1396097283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396097283 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY URGENT CARE,LLC |
| Other Organization Name | URGENT CARE EXTRA-SOUTHERN |
| Practice Address |
1120 S Gilbert Rd Mesa AZ 85204 |
| Mailing Address |
3336 E Chandler Heights Ste 121 Gilbert AZ 85298 |
| Practice Telephone | 4808403075 |
| Mailing Telephone | 4808403075 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |
| Authorized Official Name | SANDRA GRONBERG (SENIOR EXECUTIVE VP OPERATIONS) |
| Authorized Official Telephone | 4808403075 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID-TYPE UNSPECIFIED | 83288 | 01 |
| Other Name | Type Code |
|---|---|
| Urgent Care Extra-Southern | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710222419 | East Valley Urgent Care,llc | Clinic/Center | 931 E Elliot Rd, Suite 115, Tempe, AZ 85284-1578 | 2012-12-06 |
| 1235481128 | East Valley Urgent Care,llc | Clinic/Center | 3247 E Bell Rd, #pb-1, Phoenix, AZ 85032 | 2012-10-03 |
| 1053663948 | East Valley Urgent Care,llc | Clinic/Center | 6501 Greenway Parkway, #3-104, Scottsdale, AZ 85254 | 2012-10-03 |
| 1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
| 1285986075 | East Valley Urgent Care,llc | Clinic/Center | 1355 S Higley Rd, Ste 104, Gilbert, AZ 85298 | 2012-10-04 |
| 1093067894 | East Valley Urgent Care,llc | Clinic/Center | 641 W Warner Rd, Gilbert, AZ 85233 | 2012-10-04 |
| 1528310448 | East Valley Urgent Care,llc | Clinic/Center | 6323 S Rural Rd, Ste 107, Tempe, AZ 85283 | 2012-10-03 |
| 1508118498 | East Valley Urgent Care,llc | Clinic/Center | 1641 E Guadalupe Rd, Gilbert, AZ 85233 | 2012-10-03 |
| 1609127596 | East Valley Urgent Care,llc | Clinic/Center | 3126 S Higley Rd Ste 109, Gilbert, AZ 85297 | 2012-10-02 |
| 1558612473 | East Valley Urgent Care,llc | Clinic/Center | 7611 W Cactus Rd, Peoria, AZ 85381 | 2012-10-02 |
| Street Address |
1120 S GILBERT RD |
| City | MESA |
| State | AZ |
| Zip Code | 85204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924084 | Banner Urgent Care Services, LLC | Clinic/Center | 1120 S Gilbert Rd, Mesa, AZ 85204-5206 | 2018-12-20 |
| 1326527508 | Shirene Woodham | Nurse Practitioner | 1120 S Gilbert Rd, Mesa, AZ 85204-5206 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
| 1427615012 | Honorhealth Urgent Care, LLC | Clinic/Center | 1124 E Mckellips Rd Ste 102, Mesa, AZ 85203-2766 | 2019-05-20 |
| 1174095798 | Banner Urgent Care Services, LLC | Clinic/Center | 1908 E Mckellips Rd, Mesa, AZ 85203-2866 | 2018-12-20 |
| 1790257319 | Banner Urgent Care Services, LLC | Clinic/Center | 407 N Lindsay Rd Ste 103, Mesa, AZ 85213-7712 | 2018-12-20 |
| 1891267415 | Banner Urgent Care Services, LLC | Clinic/Center | 1955 W Guadalupe Rd Ste 101&102, Mesa, AZ 85202-7487 | 2018-12-20 |
| 1366872756 | Allkids Urgent Care, LLC | Clinic/Center | 10720 E Southern Ave Ste 112a, Mesa, AZ 85209-3812 | 2013-11-21 |
| 1053667709 | 19th Avenue Clinic LLC | Clinic/Center | 835 W University Dr, Mesa, AZ 85201-5555 | 2012-07-31 |
| 1962786269 | Tri-city Express Care Pllc | Clinic/Center | 1810 S Power Rd, Suite 101, Mesa, AZ 85206-4308 | 2011-10-05 |
| 1649554940 | Tri-city Express Care, Pllc | Clinic/Center | 1955 S Signal Butte Rd, Suite 103, Mesa, AZ 85209-2608 | 2011-10-05 |
| 1770802068 | Nextcare Arizona LLC | Clinic/Center | 4401 E Mckellips Rd, Ste, 102, Mesa, AZ 85215-2558 | 2010-05-26 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.