CENTRAL AVENUE URGENT CARE CENTER (NPI# 1962428060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962428060 |
| Entity Type | Organization |
| Organization Name | CENTRAL AVENUE URGENT CARE CENTER |
| Practice Address |
8891 Central Ave Montclair CA 91763-1618 |
| Practice Telephone | 9098659977 |
| Practice Fax Number | 9096240560 |
| Mailing Telephone | 9098659977 |
| Mailing Fax Number | 9096240560 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KAREN LEVIN-BOHLKA (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9098659829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
CA | Ambulatory Health Care Facilities |
| Street Address |
8891 CENTRAL AVE |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043775919 | Central Urgent Medical Care | Clinic/Center | 8891 Central Ave, Montclair, CA 91763-1618 | 2019-02-05 |
| 1336611813 | Beau Christian | Registered Nurse | 8891 Central Ave, Montclair, CA 91763-1618 | 2018-12-21 |
| 1720514466 | Kyungsoo Korinn Go | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2017-05-01 |
| 1992259071 | Daniel Mccullough | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2016-08-07 |
| 1265898126 | Noor Dakkak | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2016-01-07 |
| 1467821363 | Danielle Barrett | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2015-09-21 |
| 1396137329 | Gale Estelle Laidlaw | Nurse Practitioner | 8891 Central Ave, Montclair, CA 91763-1618 | 2015-02-27 |
| 1093115941 | Michelle Anne Matyseck | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2014-08-28 |
| 1992120042 | Joann Enderica | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2014-02-26 |
| 1083035984 | Dareen M Nassman | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043775919 | Central Urgent Medical Care | Clinic/Center | 8891 Central Ave, Montclair, CA 91763-1618 | 2019-02-05 |
| 1356650386 | Central Urgent Medical Care | Clinic/Center | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2010-09-24 |
| 1558503169 | Thuy T M Nguyen M D Inc | Clinic/Center | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2009-03-27 |
| 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 |
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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.