Family Medical Clinic & Urgent Care Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A61054 Issued in CA

Legal business name

FAMILY MEDICAL CLINIC & URGENT CARE INC

Practice address

9723 Sierra Vista Rd
Unit a
Phelan, CA 92371-8271

Phone

(760) 868-1990

Fax

(760) 868-1201

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Vivek Singh Gill, MDNPI 1992712616

Title

Owner

Phone

(760) 868-1990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Vivek S Gill, MD

  • Internal Medicine Physician
  • Phelan, CA
  • NPI 1992712616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1114240371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9723 SIERRA VISTA RD",
            "address_2": "UNIT A",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923718271",
            "telephone_number": "760-868-1990",
            "fax_number": "760-868-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 SIERRA VISTA RD",
            "address_2": "UNIT A",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923718271",
            "telephone_number": "760-868-1990",
            "fax_number": "760-868-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC & URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-868-1990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A61054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Crampton, MS
• D J a M Inc
• Rachelle Davis, PHARMD
• Dipak Katbamna DDS P.C.
• Ben Wilder Eby, DDS
• Maya Feldman, CMT, MMP
• Patricia Joan Felt, PT
• Ariel Amethyst Ferrara, MSN, RN, FNP-BC
• Formulation Materials
• Gerald J Walde

• Clinic/Center in Phelan, CA
• Providers in Phelan, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.