EXECUTIVE URGENT CARE OF INDIAN WELLS (NPI# 1801181961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801181961 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE URGENT CARE OF INDIAN WELLS |
| Practice Address |
74785 Highway 111 Suite 100 Indian Wells CA 92210 |
| Practice Telephone | 7603463932 |
| Practice Fax Number | 7603468584 |
| Mailing Telephone | 7603463932 |
| Mailing Fax Number | 7603468584 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | DR. DAVID H TANG (OWNER) |
| Authorized Official Telephone | 7603463932 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
G44271 | CA | Ambulatory Health Care Facilities |
| Street Address |
74785 HIGHWAY 111 SUITE 100 |
| City | INDIAN WELLS |
| State | CA |
| Zip Code | 92210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407959455 | Emergency Physicians Medical Group Inc | Emergency Medicine | 74785 Highway 111, Suite 100, Indian Wells, CA 92210 | 2006-09-06 |
| 1053475061 | Ivan T Kanno | Emergency Medicine | 74785 Highway 111, Suite 100, Indian Wells, CA 92210 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750579348 | Linda Mak, Md, Inc. | Dermatology | 74-900 Hwy 111, Ste 212, Indian Wells, CA 92210 | 2007-10-09 |
| 1639372162 | Gary R Smith | Chiropractor | 74-967 Hwy 111, Indian Wells Chiropractic Clinic, Indian Wells, CA 92210 | 2007-06-11 |
| 1477696813 | Richard Stephen Donley | Chiropractor | 74967 Highway 111, Indian Wells, CA 92210 | 2007-02-15 |
| 1689746125 | Frank Warren Gustafson | Physical Therapist | 45240 Club Drive, Indian Wells, CA 92210 | 2006-11-13 |
| 1891899373 | Matthew F Gutowicz Jr. | Radiology | 74785 Highway 111 Suite V101 Wall St West Bldg, Indian Wells, CA 92210 | 2006-09-12 |
| 1033169339 | Adam James Brochert | Radiology | 74785 Us Highway 111 Ste 101, Indian Wells, CA 92210 | 2006-05-10 |
| 1801093844 | Frank Conyngham Crawford II | Dentist | 74-900 Hwy 111, Suite 210, Indian Wells, CA 92210 | 2007-07-02 |
| 1942358320 | Richard Vandyke Packard | Optometrist | 74927 Us Highway 111, Indian Wells, CA 92210 | 2007-01-08 |
| 1568788966 | Ronald Paul Portnoff | Orthopaedic Surgery | 77714 Cove Pointe, Indian Wells, CA 92210-6101 | 2010-04-12 |
| 1518910264 | Vicki Portnoff | Radiology | 77714 Cove Pointe Cir, Indian Wells, CA 92210-6101 | 2006-05-17 |
| Find all providers in zip 92210 | ||||
| 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 | ||||
| City | INDIAN WELLS |
| Zip Code | 92210 |
Please comment or provide details below to improve the information on EXECUTIVE URGENT CARE OF INDIAN WELLS.
| 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.