PREMIUM URGENT CARE, INC. (NPI# 1821473935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821473935 |
Entity Type | Organization |
Organization Name | PREMIUM URGENT CARE, INC. |
Other Organization Name | PREMIUM URGENT CARE |
Practice Address |
6643 N. Milburn Ave Suite 104 Fresno CA 93722 |
Mailing Address |
2021 Herndon Ave Ste 101 Clovis CA 93611-6101 |
Practice Telephone | 5597974315 |
Practice Fax Number | 5593218730 |
Mailing Telephone | 5597974315 |
Mailing Fax Number | 5593218730 |
Enumeration Date | 2015-07-30 |
Last Update Date | 2019-05-02 |
Authorized Official Name | DR. ERICK J GREEN (OWNER) |
Authorized Official Telephone | 5597974315 |
Authorized Official Credential | MD |
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 | BLUE SHIELD GROUP PIN | ZZZ83169Y | 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 |
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 |
1942696455 | Premium Urgent Care, Inc. | Clinic/Center | 505 N Clovis Ave, Fresno, CA 93727-2617 | 2015-04-10 |
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 |
6643 N. MILBURN AVE SUITE 104 |
City | FRESNO |
State | CA |
Zip Code | 93722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
1134476047 | Jessica Marie Martin | Student in an Organized Health Care Education/Training Program | 3306 N. Dante, Fresno, CA 93722 | 2012-08-09 |
Find all providers in zip 93722 |
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 |
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 |
1942696455 | Premium Urgent Care, Inc. | Clinic/Center | 505 N Clovis Ave, Fresno, CA 93727-2617 | 2015-04-10 |
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.