OC URGENTCARE MEDICAL GROUP INC. (NPI# 1083940597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083940597 |
| Entity Type | Organization |
| Organization Name | OC URGENTCARE MEDICAL GROUP INC. |
| Practice Address |
631 S Brookhurst St Suite 101 Anaheim CA 92804-3510 |
| Mailing Address |
Po Box 2638 Anaheim CA 92814-0638 |
| Practice Telephone | 7149915700 |
| Practice Fax Number | 7149915800 |
| Mailing Telephone | 7149915700 |
| Mailing Fax Number | 7149915800 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | NAHLA H SALEM (PRESIDENT) |
| Authorized Official Telephone | 7149915700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
BUS2009-03901 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A106233 | 01 |
| CA | 1083940597 | 05 |
| Street Address |
631 S BROOKHURST ST SUITE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992725154 | Roxane Marie Berenbeim | Occupational Therapist | 631 S Brookhurst St, #106, Anaheim, CA 92804-3510 | 2006-07-20 |
| 1710441001 | Maria Guadalupe Rojo | Nurse Practitioner | 631 S Brookhurst St, Anaheim, CA 92804-3510 | 2019-01-30 |
| 1265965784 | E-solutions Medical Corp., A Professional Corporation | Internal Medicine | 631 S Brookhurst St, Ste 201, Anaheim, CA 92804-3510 | 2017-04-11 |
| 1821455767 | Jane Ngoc Nguyen | Physician Assistant | 631 S Brookhurst St, Suite 101, Anaheim, CA 92804-3510 | 2016-01-22 |
| 1851799050 | Thyvan Nguyen Ikari | Physician Assistant | 631 S Brookhurst St, Suite 101, Anaheim, CA 92804-3510 | 2014-12-21 |
| 1306149091 | Quality Care Ipa A Medical Group Inc | Exclusive Provider Organization | 631 S Brookhurst St, 201, Anaheim, CA 92804-3510 | 2010-12-17 |
| 1568780856 | Suhaib A. Zanial, M.d., Incorporated | Internal Medicine | 631 S Brookhurst St, 201, Anaheim, CA 92804-3510 | 2010-05-11 |
| 1811120173 | Nahla Salem, M.d., Inc. | Family Medicine | 631 S Brookhurst St, Suite 101, Anaheim, CA 92804-3510 | 2009-09-02 |
| 1811182884 | Jennifer Joyce Jackson | Case Manager/Care Coordinator | 631 S Brookhurst St, Suite 106, Anaheim, CA 92804-3510 | 2007-09-12 |
| 1316967276 | Michael Ray Williams | Counselor | 631 S Brookhurst St, Suite 106, Anaheim, CA 92804-3510 | 2006-07-20 |
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|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1750746947 | Golden West Medical Corporation | Clinic/Center | 1000 S Anaheim Blvd Ste 102, Anaheim, CA 92805-5802 | 2015-12-15 |
| 1891271771 | Anaheim Urgent Care, Inc | Clinic/Center | 2100 S Euclid St, Anaheim, CA 92802-4572 | 2018-07-13 |
| 1396259149 | Southern California Doctors Prof Medical Corp | Clinic/Center | 710 S Brookhurst St Ste A, Anaheim, CA 92804-4321 | 2017-11-30 |
| 1578077202 | Munoz Urgent Care Inc | Clinic/Center | 1741 W Romneya Dr, Suite A, Anaheim, CA 92801 | 2017-11-16 |
| 1972024388 | Family Urgent Care Inc | Clinic/Center | 9918 Katella Ave Ste C, Anaheim, CA 92804-6466 | 2017-07-06 |
| 1396281713 | San Miguel Urgent Care Anaheim A Professional Corporation | Clinic/Center | 710 S Brookhurst St Ste A, Anaheim, CA 92804-4321 | 2017-01-09 |
| 1194196345 | American Current Care of California, A Medical Corporation | Clinic/Center | 1101 S Anaheim Blvd, Anaheim, CA 92805-5811 | 2015-10-14 |
| 1578992681 | Anaheim Medical Group | Clinic/Center | 2571 W La Palma Ave, Anaheim, CA 92801 | 2013-11-08 |
| 1962848499 | Orange County Urgent Care #3, Inc. | Clinic/Center | 751 S Weir Canyon Rd, Suite 171-167b, Anaheim, CA 92808-1962 | 2013-05-10 |
| Find all providers in ANAHEIM | ||||
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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.