NPIMap

Organization Active NPI

Wellpoint Urgent Care LLC

  • Adult Medicine Physician
  • El Dorado Hills, CA
National Provider Identifier
1114191954
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A55172 Issued in CA
Legal business name
WELLPOINT URGENT CARE LLC
Practice address
3840 El Dorado Hills Blvd
Suite 303
El Dorado Hills, CA 95762-4567
Phone
(916) 457-7424
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. James Peter Dickens, M.D.
Title
Physician
Phone
(916) 457-7424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X A55172 CA Primary

Addresses

Primary practice location

3840 El Dorado Hills Blvd
Suite 303
El Dorado Hills, CA 95762-4567

Mailing address

3840 El Dorado Hills Blvd
Suite 303
El Dorado Hills, CA 95762-4567

National Provider Directory

National Provider Directory

Locations

3840 El Dorado Hills Blvd
Ste 303
El Dorado Hills, CA 95762
Phone (916) 457-7424

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1114191954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 EL DORADO HILLS BLVD",
            "address_2": "SUITE 303",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 EL DORADO HILLS BLVD",
            "address_2": "SUITE 303",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624567",
            "telephone_number": "916-457-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-457-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A55172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.