CLASSIC URGENT CARE A MEDICAL CORPORATION (NPI# 1760993182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760993182 |
| Entity Type | Organization |
| Organization Name | CLASSIC URGENT CARE A MEDICAL CORPORATION |
| Other Organization Name | CLASSIC URGENT CARE |
| Practice Address |
622 Academy Ave Sanger CA 93657-2423 |
| Practice Telephone | 5593998940 |
| Practice Fax Number | 5593998657 |
| Mailing Telephone | 5593998940 |
| Mailing Fax Number | 5593998657 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Authorized Official Name | JOSEPH IMUAGBONRIE IDONI (CEO) |
| Authorized Official Telephone | 5593998940 |
| Authorized Official Credential | PA |
| 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 |
| Other Name | Type Code |
|---|---|
| Classic Urgent Care | Other Name - Individual/Organization |
| Street Address |
622 ACADEMY AVE |
| City | SANGER |
| State | CA |
| Zip Code | 93657-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871853 | Bernardo Bretado | Counselor | 2017 Mary Street, Sanger, CA 93657 | 2014-08-12 |
| 1902238033 | Robin Christine Ploharz | Counselor | 1822 Jensen Ave #102-104, Sanger, CA 93657 | 2013-07-31 |
| 1629419833 | Elim Place, Inc. | Assisted Living Facility | 1808 5th Street, Sanger, CA 93657 | 2013-07-16 |
| 1568716793 | Paul Sylvan Cheney | Dentist | 620 S. Fairbanks Ave., Sanger, CA 93657 | 2012-11-09 |
| 1336409820 | Jocelyn Ann Mizunaka | Family Medicine | 1570 7th Street, Sanger, CA 93657 | 2012-05-18 |
| 1912216581 | Sampath Wijesinghe | Physician Assistant | 1393 Academy Ave, Sanger, CA 93657 | 2010-09-30 |
| 1528144185 | Daniel Richard Souza | Physical Therapist | 2570 Jensen A Ve #108, Sanger, CA 93657 | 2006-10-27 |
| 1023102654 | Herbert Lance Crooks | Dentist | 2434 Jensen, Sanger, CA 93657 | 2006-10-03 |
| 1689633174 | Donald T Negri Od Inc | Optometrist | 1329 8th St, Sanger, CA 93657 | 2006-03-22 |
| 1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
| Find all providers in zip 93657 | ||||
| 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 | ||||
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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.