VACAVILLE URGENT CARE MEDICAL GROUP INC (NPI# 1831393255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831393255 |
Entity Type | Organization |
Organization Name | VACAVILLE URGENT CARE MEDICAL GROUP INC |
Other Organization Name | VACAVILLE URGENT CARE |
Practice Address |
1001 Nut Tree Rd Ste 110 Vacaville CA 95687-4166 |
Practice Telephone | 7074551343 |
Practice Fax Number | 7074557645 |
Mailing Telephone | 7074551343 |
Mailing Fax Number | 7074557645 |
Enumeration Date | 2007-06-11 |
Last Update Date | 2014-06-19 |
Authorized Official Name | DR. GAUTAM K VADLAMUDI (PRESIDENT) |
Authorized Official Telephone | 7074551343 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A51500 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Vacaville Urgent Care | Doing Business As Name - Organization |
Street Address |
1001 NUT TREE RD STE 110 |
City | VACAVILLE |
State | CA |
Zip Code | 95687-4166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528042520 | Maria Jane Highsmith | Podiatrist | 1001 Nut Tree Rd, Suite 220, Vacaville, CA 95687 | 2005-12-02 |
1477000503 | Ronni Lindsay Trapanese | Nurse Practitioner | 1001 Nut Tree Rd, Vacaville, CA 95687-4166 | 2016-09-07 |
1891115838 | Napa Valley Foot & Ankle, Inc | Podiatrist | 1001 Nut Tree Rd, Suite 220, Vacaville, CA 95687-4166 | 2014-04-17 |
1952655623 | New Millennium Clinical | Nurse Practitioner | 1001 Nut Tree Rd, Suite 200, Vacaville, CA 95687-4166 | 2012-11-02 |
1316018088 | Melissa Kaye Croumie Hall | Nurse Practitioner | 1001 Nut Tree Rd, #140, Vacaville, CA 95687-4166 | 2006-11-13 |
1184715245 | Brian Kent Klink | Plastic Surgery | 1001 Nut Tree Rd, Suite 130, Vacaville, CA 95687-4166 | 2006-09-27 |
1427153857 | Donna T. Burton | Dentist | 1001 Nut Tree Rd, Ste. 230, Vacaville, CA 95687-4166 | 2006-09-13 |
1184729212 | Gautam K Vadlamudi | Family Medicine | 1001 Nut Tree Rd, Suite 110, Vacaville, CA 95687-4166 | 2006-09-13 |
1851407597 | Mukesh H Naik Do Inc | Family Medicine | 1001 Nut Tree Rd, Suite 140, Vacaville, CA 95687-4166 | 2006-08-23 |
1609982248 | Mukesh Hasmukhrai Naik | Family Medicine | 1001 Nut Tree Rd, Suite 140, Vacaville, CA 95687-4166 | 2006-08-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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.