Organization Active NPI

3Titan Medical Inc

Doing business as El Monte Urgent Care

  • Urgent Care Clinic/Center
  • El Monte, CA
National Provider Identifier
1023898046
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
3TITAN MEDICAL INC
Doing business as
El Monte Urgent Care
Practice address
11311 Garvey Ave
El Monte, CA 91732-3301
Phone
(626) 689-4111
NPI assigned
Oct 5, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Archie Trinidad
Title
Manager
Phone
(909) 729-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

11311 Garvey Ave
El Monte, CA 91732-3301

Mailing address

11311 Garvey Ave
El Monte, CA 91732-3301

Other names 1

  • EL MONTE URGENT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231123000101 CA Part B Supplier - Clinic/Group Practice 9638527021 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: El Monte, CA; Rancho Santa Margarita, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2292096El Monte Urgent Care11311 Garvey Ave, El Monte, CA 91732Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
3Titan Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1023898046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323301",
            "telephone_number": "626-689-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3TITAN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-729-5079"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL MONTE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EL MONTE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.