NPIMap

Organization Active NPI

DV Urgent Care Medical Group, Inc.

Doing business as DV Urgent Care and Occupational Health

  • Urgent Care Clinic/Center
  • Eastvale, CA
National Provider Identifier
1164738803
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
20A6930 Issued in CA
Legal business name
DV URGENT CARE MEDICAL GROUP, INC.
Doing business as
DV Urgent Care and Occupational Health
Practice address
6080 Hamner Ave
Suite# 100
Eastvale, CA 91752-3662
Phone
(951) 361-0104
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Melissa Casarez
Title
Office Manager
Phone
(909) 948-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 20A6930 CA Primary

Addresses

Primary practice location

6080 Hamner Ave
Suite# 100
Eastvale, CA 91752-3662

Mailing address

PO Box 2967
Rancho Cucamonga, CA 91729-2967
Phone (909) 948-8050

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ65330YOtherCABLUE SHIELD

Other names 1

  • DV Urgent Care and Occupational Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1164738803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2967",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917292967",
            "telephone_number": "909-948-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 HAMNER AVE",
            "address_2": "SUITE# 100",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917523662",
            "telephone_number": "951-361-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DV URGENT CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "CASAREZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-948-8050"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "20A6930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65330Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DV Urgent Care and Occupational Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.