Active NPI
Abc Medical Corporation
- Urgent Care Clinic/Center
- Hemet, CA
National Provider Identifier
1174803043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ABC MEDICAL CORPORATION
- Practice address
- 1701 E Florida Ave
Hemet, CA 92544-4632 - Phone
- (951) 652-2228
- Fax
- (951) 925-1026
- NPI assigned
- Aug 24, 2011
- Last updated
- Aug 24, 2011
- 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
- Anil Rastogi, MD
- Title
- Cfo
- Phone
- (951) 652-2228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
1701 E Florida Ave
Hemet, CA 92544-4632
Mailing address
1275 E Latham Ave Ste a
Hemet, CA 92543-4424
Phone (951) 652-2228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2051893 | Abc Medical Corporation | Certificate of waiver | Jan 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1701 E Florida Ave
Hemet, CA 92544
Phone (951) 652-2228
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Hemet, CA
- NPI 1730290321
-
- Family Nurse Practitioner
- Murrieta, CA
- NPI 1043799703
-
- Adult Health Nurse Practitioner
- Yucca Valley, CA
- NPI 1407323025
-
- Family Medicine Physician
- Hemet, CA
- NPI 1558985390
-
- Adult Health Nurse Practitioner
- San Diego, CA
- NPI 1083942734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314144000000",
"number": "1174803043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 E LATHAM AVE STE A",
"city": "HEMET",
"state": "CA",
"postal_code": "925434424",
"telephone_number": "951-652-2228",
"fax_number": "951-925-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925444632",
"telephone_number": "951-652-2228",
"fax_number": "951-925-1026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABC MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A",
"authorized_official_last_name": "RASTOGI",
"authorized_official_first_name": "ANIL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "951-652-2228",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.