Organization Active NPI

Santa Teresita Urgent Care Center, Inc.

  • General Practice Physician
  • Duarte, CA
National Provider Identifier
1093924110
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SANTA TERESITA URGENT CARE CENTER, INC.
Practice address
819 Buena Vista St
Duarte, CA 91010-1703
Phone
(626) 359-3243
Fax
(626) 932-3442
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sister Francis Marie
Title
Cfo
Phone
(626) 359-3243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

819 Buena Vista St
Duarte, CA 91010-1703

Mailing address

819 Buena Vista St
Duarte, CA 91010-1703
Phone (626) 359-3243

Other identifiers 1

IdentifierTypeStateIssuer
W18208OtherCAPALMETTO GOV RR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093924110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BUENA VISTA ST",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101703",
            "telephone_number": "626-359-3243",
            "fax_number": "626-932-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 BUENA VISTA ST",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101703",
            "telephone_number": "626-359-3243",
            "fax_number": "626-932-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA TERESITA URGENT CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARIE",
        "authorized_official_first_name": "SISTER",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-359-3243"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GOV RR",
            "identifier": "W18208",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • 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.