Furnace Branch Urgent Care Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FURNACE BRANCH URGENT CARE CLINIC

Practice address

900 N Heritage Dr Ste a
Ridgecrest, CA 93555-5540

Phone

(760) 446-4571

Fax

(760) 446-3819

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Emanuel Roberts Jr., M.D.

Title

President

Phone

(760) 446-4571

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1053555375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N HERITAGE DR STE A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555540",
            "telephone_number": "760-446-4571",
            "fax_number": "760-446-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HERITAGE DR STE A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555540",
            "telephone_number": "760-446-4571",
            "fax_number": "760-446-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FURNACE BRANCH URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-446-4571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haleigh Michelle Freese
• Eric Detlef Frey, M.D.
• Kodi Nicole Frodin
• Henry Nmi Frohlich III, R.P.T.
• Amy Beth Fuller, RD
• Joseph E Furtado Jr., PHARM.D.
• Michael Richard Gallap, O.D.
• Kathryn Garcia, D.P.T.
• Nikki Dawn Gardepe
• Emma Nicole Gardner

• Family Medicine Physician in Ridgecrest, CA
• Providers in Ridgecrest, 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 Jun 22, 2010; 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.