Active NPI
Anaheim Urgent Care, Inc.
- Urgent Care Clinic/Center
- Tustin, CA
National Provider Identifier
1043976103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ANAHEIM URGENT CARE, INC.
- Practice address
- 13095 Jamboree Rd
Tustin, CA 92782-9150 - Phone
- (949) 868-4800
- Fax
- (949) 868-4801
- NPI assigned
- Nov 12, 2021
- Organization subpart
- Yes
- Parent organization
- ANAHEIM URGENT CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamala Pratt
- Title
- Director of Operations
- Phone
- (714) 533-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
13095 Jamboree Rd
Tustin, CA 92782-9150
Mailing address
1300 N la Brea Ave
Los Angeles, CA 90028-7504
Phone (323) 464-1336
Other names 1
- Tustin City Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080606000728 | CA | Part B Supplier - Clinic/Group Practice | 8325118029 |
Receives reassigned benefits from 172 practitioners 35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA; Moorpark, CA; North Hollywood, CA; Pasadena, CA; Rancho Palos Verdes, CA; Santa Monica, CA; Thousand Oaks, CA; Torrance, CA… |
Other NPIs on the same Medicare enrollment 35
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Urgent Care Clinic/Center
- Rolling Hills Estates, CA
- NPI 1184353732
O20080606000728
-
- Urgent Care Clinic/Center
- Rancho Santa Margarita, CA
- NPI 1790414340
O20080606000728
National Provider Directory
National Provider Directory- Part of
- Anaheim Urgent Care Inc
Locations
13095 Jamboree Rd
Tustin, CA 92782
Phone (714) 838-8254
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1316689185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1043976103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287504",
"telephone_number": "323-464-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13095 JAMBOREE RD",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927829150",
"telephone_number": "949-868-4800",
"fax_number": "949-868-4801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANAHEIM URGENT CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANAHEIM URGENT CARE, INC.",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "JAMALA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "714-533-2273"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tustin City Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.