PREMIUM URGENT CARE, INC. (NPI# 1942696455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942696455 |
| Entity Type | Organization |
| Organization Name | PREMIUM URGENT CARE, INC. |
| Other Organization Name | PREMIUM URGENT CARE |
| Practice Address |
505 N Clovis Ave Fresno CA 93727-2617 |
| Mailing Address |
2021 Herndon Ave Suite 101 Clovis CA 93611-6101 |
| Practice Telephone | 5594128847 |
| Practice Fax Number | 5594128447 |
| Mailing Telephone | 5597974315 |
| Mailing Fax Number | 5593218730 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | DR. ERICK J GREEN (OWNER) |
| Authorized Official Telephone | 5597974315 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PREMIUM URGENT CARE GRP PTAN | CA109622 | 01 |
| Other Name | Type Code |
|---|---|
| Premium Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215455779 | Premium Urgent Care, Inc. | Clinic/Center | 3000 Floral Ave, Selma, CA 93662-9414 | 2017-09-05 |
| 1073055323 | Premium Urgent Care, Inc. | Clinic/Center | 1851 Lander Ave, Turlock, CA 95380-6240 | 2016-11-16 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1851894745 | Premium Urgent Care, Inc. | Clinic/Center | 7471 N Fresno St, Fresno, CA 93720-2457 | 2018-03-16 |
| 1104296888 | Premium Urgent Care, Inc. | Clinic/Center | 1415 Badger Flat Rd, Suite A, Los Banos, CA 93635-8600 | 2015-10-07 |
| 1033502141 | Premium Urgent Care, Inc. | Clinic/Center | 1420 Shaw Ave, Ste. 105, Clovis, CA 93611-4072 | 2015-03-13 |
| 1952744070 | Premium Urgent Care, Inc. | Clinic/Center | 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 | 2013-04-08 |
| Street Address |
505 N CLOVIS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184902405 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 505 N Clovis Ave, Fresno, CA 93727-2617 | 2011-08-03 |
| 1598324725 | Karmjit Kaur Sandhu | Nurse Practitioner | 505 N Clovis Ave, Fresno, CA 93727-2617 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044956 | J&p Urgent Care Center, Inc | Clinic/Center | 1332 W Herndon Ave Ste 100, Fresno, CA 93711-7118 | 2020-02-07 |
| 1699323634 | Emergency Physicians Urgent Care Inc | Clinic/Center | 6789 N Blackstone Ave, Fresno, CA 93710-3530 | 2019-09-03 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1609141522 | A. R. Bernard Corporation | Clinic/Center | 365 W Bedford Ave, Fresno, CA 93711-5837 | 2012-03-09 |
| 1851894745 | Premium Urgent Care, Inc. | Clinic/Center | 7471 N Fresno St, Fresno, CA 93720-2457 | 2018-03-16 |
| 1245767102 | Ideal Urgent Care A Medical Corporation | Clinic/Center | 4182 N 1st St Ste 105, Fresno, CA 93726-4300 | 2017-05-22 |
| 1588847073 | American Current Care of California, A Medical Corporation | Clinic/Center | 7265 North First Street, Suite 105, Fresno, CA 93720 | 2007-12-07 |
| 1811186869 | American Current Care of California, A Medical Corporation | Clinic/Center | 2555 South East Avenue, Fresno, CA 93706-5104 | 2007-10-16 |
| 1245429208 | American Current Care of California, A Medical Corporation | Clinic/Center | 2610 Tuolumne Street, Fresno, CA 93721-1227 | 2007-10-16 |
| 1891999108 | Impact Medical Group, Professional Corporation | Clinic/Center | 5261 E Kings Canyon Rd, Suite 107, Fresno, CA 93727-4028 | 2007-06-12 |
| Find all providers in FRESNO | ||||
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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.