PRESTIGE URGENT CARE, LLC (NPI# 1295130821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295130821 |
| Entity Type | Organization |
| Organization Name | PRESTIGE URGENT CARE, LLC |
| Practice Address |
3689 Eureka Way Redding CA 96001-0177 |
| Mailing Address |
3689 Eureka Way Redding CA 96001 |
| Practice Telephone | 5302444577 |
| Practice Fax Number | 5302444576 |
| Mailing Telephone | 5302444577 |
| Mailing Fax Number | 5302444576 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | DR. JONATHAN OSBORNE (PRESIDENT) |
| Authorized Official Telephone | 5302444577 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A7894 | CA | Ambulatory Health Care Facilities |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
13754 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
17414 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A11216 | CA | Ambulatory Health Care Facilities |
| Street Address |
3689 EUREKA WAY |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407943566 | Sunset Urgent Care, Inc | Clinic/Center | 3689 Eureka Way, Redding, CA 96001-0177 | 2006-10-09 |
| 1750933024 | Katherine L Fowler | Nurse Practitioner | 3689 Eureka Way, Redding, CA 96001-0177 | 2019-07-16 |
| 1245631159 | Ronald Anthony Novelli | Physician Assistant | 3689 Eureka Way, Redding, CA 96001-0177 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881753382 | Andre Van Mol Md | Clinic/Center | 3580 Santa Rosa Way, Redding, CA 96003 | 2006-12-08 |
| 1609292457 | Carl Wolfer Md | Clinic/Center | 1555 East St, Redding, CA 96001-1153 | 2014-03-17 |
| 1720415011 | Redding Pediatrics, Inc | Clinic/Center | 1850 Rosaline Ave, Redding, CA 96001-2534 | 2013-10-01 |
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|---|---|---|---|---|
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| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.