Organization Active NPI

Hsyrey34 Professional Corporation Express Walk-in Clinic

  • Family Medicine Physician
  • Victorville, CA
National Provider Identifier
1013750884
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HSYREY34 PROFESSIONAL CORPORATION EXPRESS WALK-IN CLINIC
Practice address
15667 Roy Rogers Dr Ste 107
Victorville, CA 92394-2159
Phone
(760) 927-3774
Fax
(760) 927-3702
NPI assigned
Jun 18, 2024
Organization subpart
Yes
Parent organization
HSYREY34 PROFESSIONAL CORPORATION EXPRESS WALK-IN CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Yashou, DO
Title
President
Phone
(760) 927-3774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15667 Roy Rogers Dr Ste 107
Victorville, CA 92394-2159

Mailing address

15667 Roy Rogers Dr Ste 107
Victorville, CA 92394-2159
Phone (760) 927-3774

Other names 1

  • Care4U Rapid Walk-in Clinic PC Doing business as

National Provider Directory

National Provider Directory
Part of
Hsyrey34 Professional Corporation Express Walk-in Clinic

Locations

15667 Roy Rogers Dr
Ste 107
Victorville, CA 92394
Phone (760) 927-3774

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1013750884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15667 ROY ROGERS DR STE 107",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923942159",
            "telephone_number": "760-927-3774",
            "fax_number": "760-927-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15667 ROY ROGERS DR STE 107",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923942159",
            "telephone_number": "760-927-3774",
            "fax_number": "760-927-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSYREY34 PROFESSIONAL CORPORATION EXPRESS WALK-IN CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HSYREY34 PROFESSIONAL CORPORATION EXPRESS WALK-IN CLINIC",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "YASHOU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-927-3774",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care4U Rapid Walk-in Clinic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.