Active NPI
Santa Teresita Urgent Care Center, Inc.
- General Practice Physician
- Duarte, CA
National Provider Identifier
1093924110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W18208 | Other | CA | PALMETTO GOV RR |
National Provider Directory
National Provider DirectoryNPI 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.