Organization Active NPI

Rapidcare Walk in Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Cameron Park, CA
National Provider Identifier
1154318426
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ZZZ28279Z Issued in CA
Legal business name
RAPIDCARE WALK IN MEDICAL GROUP, INC.
Practice address
4062 Flying C Rd
#41
Cameron Park, CA 95682-9664
Phone
(530) 676-8234
Fax
(530) 676-0819
NPI assigned
Oct 3, 2005
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Ara Tavitian, M.D.
Title
Owner
Phone
(530) 676-8234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ZZZ28279Z CA Primary

Addresses

Primary practice location

4062 Flying C Rd
#41
Cameron Park, CA 95682-9664

Mailing address

4062 Flying C Rd Ste 41
Cameron Park, CA 95682-9664
Phone (530) 676-8234

Other identifiers 1

IdentifierTypeStateIssuer
GR0064420MedicaidCA

National Provider Directory

National Provider Directory

Locations

4062 Flying C Rd
Ste 41
Cameron Park, CA 95682
Phone (530) 676-8234

13385 Folsom Blvd
Folsom, CA 95630
Phone (916) 673-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1154318426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 FLYING C RD STE 41",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956829664",
            "telephone_number": "530-676-8234",
            "fax_number": "530-676-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 FLYING C RD",
            "address_2": "#41",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956829664",
            "telephone_number": "530-676-8234",
            "fax_number": "530-676-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPIDCARE WALK IN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "TAVITIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-676-8234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "ZZZ28279Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.