SOUTHERN CALIFORNIA EMERGENCY MEDICINE (NPI# 1043597743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043597743 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA EMERGENCY MEDICINE |
| Other Organization Name | YUCAIPA URGENT CARE CENTER |
| Practice Address |
33494 Oak Glen Rd Yucaipa CA 92399-2057 |
| Mailing Address |
1407 Foothill Blvd # 306 La Verne CA 91750-3451 |
| Practice Telephone | 9097978900 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | MRS. JENNIFER BRUNK (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9095966349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
A73011 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Yucaipa Urgent Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255701249 | Southern California Emergency Medicine | Clinic/Center | 1295 Hamner Ave Ste C, Norco, CA 92860-3161 | 2015-10-02 |
| 1518380765 | Southern California Emergency Medicine | Clinic/Center | 27640 Eucalyptus Ave, Suite # 4, Moreno Valley, CA 92555-4557 | 2014-01-23 |
| 1154977999 | Southern California Emergency Medicine | Clinic/Center | 18876 Van Buren Blvd, Suite # 100, Riverside, CA 92508 | 2019-08-16 |
| 1053878405 | Southern California Emergency Medicine | Clinic/Center | 1181 N Mount Vernon Ave, Colton, CA 92324-2574 | 2019-02-21 |
| 1457888034 | Southern California Emergency Medicine | Clinic/Center | 301 W Redlands Blvd, Redlands, CA 92373-4633 | 2017-05-15 |
| 1639314255 | Southern California Emergency Medicine | Clinic/Center | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2008-12-10 |
| Street Address |
33494 OAK GLEN RD |
| City | YUCAIPA |
| State | CA |
| Zip Code | 92399-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568659712 | Dustin Ware | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2007-10-02 |
| 1851998165 | Miranda Lo | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2020-10-08 |
| 1932716123 | Phoebe Pulido | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2020-09-30 |
| 1114531407 | Logan Hurst Loomis | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2020-09-03 |
| 1417590951 | Bryan Curtis | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2019-10-28 |
| 1508331497 | Michael Paul Zoerb | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2018-10-08 |
| 1740706670 | Tiana Ann Davison | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2017-08-22 |
| 1316492754 | Alina Seratt | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2016-08-15 |
| 1487025177 | Brandie Richards | Nurse Practitioner | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301941 | Emily Ambrosi | Occupational Therapist | 12257 Tulip Ln, Yucaipa, CA 92399 | 2020-09-23 |
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1235795097 | Han Acu&herbs, Inc | Acupuncturist | 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 | 2019-05-16 |
| 1366926784 | David Gene Satre | Psychologist | 31752 Dove Ct, Yucaipa, CA 92399 | 2018-09-21 |
| 1336659861 | Titianna Little | Physical Therapist | 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 | 2017-10-11 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1073033072 | Juniper Manor, LLC | Skilled Nursing Facility | 35223 Juniper Avenue, Yucaipa, CA 92399 | 2017-06-21 |
| 1952858417 | Rafael Arias | Non-emergency Medical Transport (VAN) | 12386 17th St, Yucaipa, CA 92399 | 2016-09-01 |
| 1578906467 | Joyce I Bandele | Durable Medical Equipment & Medical Supplies | 34664 County Line Rd Suite 14, Yucaipa, CA 92399 | 2013-04-10 |
| 1033475108 | Loleta Michelle Gustafson | Marriage & Family Therapist | 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 | 2012-04-03 |
| Find all providers in zip 92399 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556440 | Cottage Clinical Network LLC | Clinic/Center | 7070 Hollister Ave Ste 103, Goleta, CA 93117-2895 | 2020-10-21 |
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503519 | We Care Urgent Care LLC | Clinic/Center | 11177 Tampa Ave Unit A, Northridge, CA 91326-2254 | 2020-09-17 |
| 1114531035 | Q & M Physician Assistant Corporation | Clinic/Center | 941 Kendall Dr Ste C, San Bernardino, CA 92407-4156 | 2020-09-08 |
| 1568070662 | Atlas Urgent Care Corporation | Clinic/Center | 5531 Business Park S, Bakersfield, CA 93309-1668 | 2020-07-15 |
| 1952927378 | Anaheim Urgent Care, Inc. | Clinic/Center | 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 | 2020-06-22 |
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1124643911 | Cottage Clinical Network, LLC | Clinic/Center | 3970 Broad St, San Luis Obispo, CA 93401-7097 | 2020-06-08 |
| 1861017659 | Cottage Clinical Network, LLC | Clinic/Center | 777 E Foothill Blvd # 777a775b, San Luis Obispo, CA 93405-1617 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.