NPIMap

Organization Active NPI

Priority Urgent Care

  • Emergency Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1063928463
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PRIORITY URGENT CARE
Practice address
611 Airport Dr
Bakersfield, CA 93308-4127
Phone
(661) 556-4777
Fax
(661) 556-4782
NPI assigned
Dec 20, 2017
Organization subpart
Yes
Parent organization
PRIORITY URGENT CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Mark Jeffrey LoewenNPI 1558625830
Title
President
Phone
(661) 556-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X CA Primary

Addresses

Primary practice location

611 Airport Dr
Bakersfield, CA 93308-4127

Mailing address

4821 Panama LN # a-C
Bakersfield, CA 93313-3480
Phone (661) 556-4777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161208001951 CA Part B Supplier - Clinic/Group Practice 7911287909 Receives reassigned benefits from 30 practitioners
2 other NPIs on this enrollment
Practice locations: Bakersfield, CA

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Priority Urgent Care

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1063928463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 PANAMA LN # A-C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133480",
            "telephone_number": "661-556-4777",
            "fax_number": "661-556-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 AIRPORT DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084127",
            "telephone_number": "661-556-4777",
            "fax_number": "661-556-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIORITY URGENT CARE",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "LOEWEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-556-4777"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.

Verify at the official NPI Registry.