DESERT RIDGE URGENT CARE LLC NPI 1861458309

NPI Information

  • NPI: 1861458309
  • Provider Name: DESERT RIDGE URGENT CARE LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: NEXTCARE
  • CLIA Number: 03D1064509
  • Address: 20950 N TATUM BLVD
    STE. 190
    PHOENIX, AZ
    ZIP 85050
  • Phone: (480) 776-1588

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NPI Details

DESERT RIDGE URGENT CARE LLC is an urgent care clinic center in Phoenix, AZ. DESERT RIDGE URGENT CARE LLC NPI is 1861458309. The provider is registered as an organization entity type.
The provider Is Doing Business As Nextcare.

The provider's business location address is:

20950 N TATUM BLVD
STE. 190
PHOENIX, AZ
ZIP 85050-200
Phone: (480) 776-1588
Fax: (480) 776-0026

The provider's authorized official is John Shufeldt .
The authorized official title is Ceo and has the following contact phone number (480) 924-8382.

The CLIA number assigned to this NPI record is 03D1064509 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 1/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareOTC3658ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1906159MEDICAIDARIZONA
2DD5596OTHERARIZONARAILROAD MEDICARE
3Z100532MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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