Moreno Valley Urgent Care, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A43499 Issued in CA

Legal business name

MORENO VALLEY URGENT CARE, INC

Practice address

24318 Hemlock Ave
Suite # E1
Moreno Valley, CA 92557-7222

Phone

(951) 243-5050

Fax

(951) 234-5586

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James A Harrison, MDNPI 1487678827

Title

President

Phone

(951) 243-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moreno Valley Urgent Care Clinic, Inc

  • Urgent Care Clinic/Center
  • Riverside, CA
  • NPI 1215365754

  O20090209000013

  Same enrollment

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

CLIA laboratory certificates

Practitioners 1

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

• James Alvin Harrison, M.D.

  • Primary Care Clinic/Center
  • Moreno Valley, CA
  • NPI 1487678827
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1144273194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE",
            "address_2": "SUITE # E1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577222",
            "telephone_number": "951-243-5050",
            "fax_number": "951-234-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE",
            "address_2": "SUITE # E1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577222",
            "telephone_number": "951-243-5050",
            "fax_number": "951-234-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO VALLEY URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-243-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A43499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A434990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moreno Valley SL I Limited Partnership
• Moreno Valley SNF, LLC
• Moreno Valley Unified School District
• Moreno Valley Unified School District
• Moreno Valley Unified School District
• Angie Vanessa Moreno
• Lisa Anne Moreno, SLPA
• Stephanie Briana Moreno
• Yasmeen Alicia Moreno
• Viviana Morfin

• Urgent Care Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.