Active NPI
Total Family Medical Center of Lake Elsinore
- Urgent Care Clinic/Center
- Temecula, CA
National Provider Identifier
1164617940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- G72993
- Legal business name
- TOTAL FAMILY MEDICAL CENTER OF LAKE ELSINORE
- Practice address
- 41715 Winchester Rd
Suite 101
Temecula, CA 92590-4808 - Phone
- (951) 308-4451
- NPI assigned
- Sep 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. NA'Imah D Powell, M.D
- Title
- Medical Director
- Phone
- (951) 308-4451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | G72993 | CA | Primary |
Addresses
Primary practice location
41715 Winchester Rd
Suite 101
Temecula, CA 92590-4808
Mailing address
41715 Winchester Rd
Suite 101
Temecula, CA 92590-4808
Phone (951) 308-4451
Other names 1
- Temecula Urgent Care
National Provider Directory
National Provider Directory- Tax ID family
- Temecula Urgent Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Lake Elsinore, CA
- NPI 1639594955
-
- Multi-Specialty Clinic/Center
- Murrieta, CA
- NPI 1205084449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189641600000",
"number": "1164617940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41715 WINCHESTER RD",
"address_2": "SUITE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904808",
"telephone_number": "951-308-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41715 WINCHESTER RD",
"address_2": "SUITE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904808",
"telephone_number": "951-308-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL FAMILY MEDICAL CENTER OF LAKE ELSINORE",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "NA'IMAH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "951-308-4451",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "G72993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Temecula Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.