Organization Active NPI

Shaw Walk-in Medical Center/Urgent Care,Inc.

  • Clinic/Center
  • Fresno, CA
National Provider Identifier
1174554836
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SHAW WALK-IN MEDICAL CENTER/URGENT CARE,INC.
Practice address
3440 W Shaw Ave Ste a
Fresno, CA 93711-3216
Phone
(559) 277-2273
Fax
(559) 277-2320
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tuantu Doan Vu, PHYSICIAN ASSISTANT
Title
Chief Financial Officer
Phone
(559) 277-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

3440 W Shaw Ave Ste a
Fresno, CA 93711-3216

Mailing address

3440 W Shaw Ave Ste a
Fresno, CA 93711-3216
Phone (559) 277-2273

Other names 1

  • none Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0989726Shaw Walk-in Medical Center3440 W Shaw Ave Suite a, Fresno, CA 93711Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Locations

3440 W Shaw Ave
Ste A
Fresno, CA 93711
Phone (559) 277-2273

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174554836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 W SHAW AVE STE A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113216",
            "telephone_number": "559-277-2273",
            "fax_number": "559-277-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 W SHAW AVE STE A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113216",
            "telephone_number": "559-277-2273",
            "fax_number": "559-277-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW WALK-IN MEDICAL CENTER/URGENT CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOAN VU",
        "authorized_official_first_name": "TUANTU",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-277-2273",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.