Organization Active NPI

Stately Urgent Care PC

  • Urgent Care Clinic/Center
  • Redlands, CA
National Provider Identifier
1104757145
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STATELY URGENT CARE PC
Practice address
1467 Ford St Ste 201
Redlands, CA 92373-3912
Phone
(909) 712-0414
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dr. Salma Green, DONPI 1003301417
Title
Physician/Ceo/Owner
Phone
(909) 712-0414

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1467 Ford St Ste 201
Redlands, CA 92373-3912

Mailing address

1467 Ford St Ste 201
Redlands, CA 92373-3912
Phone (909) 712-0414

National Provider Directory

National Provider Directory

Locations

1467 Ford St
Ste 201
Redlands, CA 92373
Phone (909) 206-2612

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1104757145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 FORD ST STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733912",
            "telephone_number": "909-712-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 FORD ST STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733912",
            "telephone_number": "909-712-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATELY URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "PHYSICIAN/CEO/OWNER",
        "authorized_official_telephone_number": "909-712-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.