Procare Work Injury Center & Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A74672 Issued in CA

Legal business name

PROCARE WORK INJURY CENTER & URGENT CARE

Practice address

18582 Beach Blvd Ste 23a
Huntington Beach, CA 92648-2012

Phone

(714) 964-4442

Fax

(714) 963-3780

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Solongo Gombosuren, BA, MBA

Title

Office Manager

Phone

(949) 752-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cheshire Medical Corp3 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.

• Cheshire Medical Corporation

  • Specialist
  • Irvine, CA
  • NPI 1023246519
  NPD tax ID
• Family Care Medical Ass

  • Occupational Medicine Physician
  • Huntington Beach, CA
  • NPI 1962540682
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Winston Cheshire, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Huntington Beach, CA
  • NPI 1134261829

  Family Medicine

  NPD (past)
• David Firozz, AC

  • Physical Medicine & Rehabilitation Physician
  • Huntington Beach, CA
  • NPI 1669519427
  NPD (past)
• Neda Vossoughi, MD

  • General Practice Physician
  • Irvine, CA
  • NPI 1114063898
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043359433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17232 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145628",
            "telephone_number": "949-752-1111",
            "fax_number": "949-752-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18582 BEACH BLVD STE 23A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482012",
            "telephone_number": "714-964-4442",
            "fax_number": "714-963-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE WORK INJURY CENTER & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMBOSUREN",
        "authorized_official_first_name": "SOLONGO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-752-1111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A74672",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Private Medical Consulting
• Pro Ivy Medical Group PC
• Pro Sports Institute a Medical Corporation Inc
• Proactive Care Nursing, Inc
• Proactive Nursing, Inc.
• Terese C. Proctor, RD
• Prodius, Inc.
• Promptcare Occupational Medicine
• Brenna Hoff Proudfoot, FNP
• Courtney Jane Prouty

• Family Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.