SOUTHBAY URGENT CARE INC (NPI# 1558746750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558746750 |
Entity Type | Organization |
Organization Name | SOUTHBAY URGENT CARE INC |
Practice Address |
555 Saturn Blvd Suite B Box 292 San Diego CA 92154-4766 |
Mailing Address |
1628 Palm Ave San Diego CA 92154-1027 |
Practice Telephone | 6195919999 |
Mailing Telephone | 6195919999 |
Enumeration Date | 2015-07-29 |
Last Update Date | 2016-01-21 |
Authorized Official Name | KIMBERLY SHEKER DICKSON (OWNER) |
Authorized Official Telephone | 6195919999 |
Authorized Official Credential | DO |
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 |
Street Address |
555 SATURN BLVD SUITE B BOX 292 |
City | SAN DIEGO |
State | CA |
Zip Code | 92154-4766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609100874 | Olivia Marie Willishenry | Audiologist | 555 Saturn Blvd, Suite 361, San Diego, CA 92154-4766 | 2009-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
Find all providers in zip 92154 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1598214892 | American Current Care of California, A Medical Corporation | Clinic/Center | 5333 Mission Center Rd, Suite 100, San Diego, CA 92108-1302 | 2016-09-27 |
1588035968 | Joseph Moore, Inc | Clinic/Center | 975 Garnet Ave, San Diego, CA 92109-2729 | 2015-10-12 |
1508023268 | Pooya A. Ataii, Md Inc. | Clinic/Center | 4765 Carmel Mountain Rd, Ste 207, San Diego, CA 92130-6657 | 2008-05-20 |
1972505857 | Emergency Care Dynamics Inc | Clinic/Center | 3434 Midway Dr, Ste 1002, San Diego, CA 92110-4923 | 2005-08-11 |
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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 |
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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.