Organization Active NPI

Pacific Family Medical Inc

  • Urgent Care Clinic/Center
  • Victorville, CA
National Provider Identifier
1194285700
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PACIFIC FAMILY MEDICAL INC
Practice address
12384 Palmdale Rd Ste 104
Victorville, CA 92392-8506
Phone
(760) 991-3000
Fax
(760) 995-2604
NPI assigned
Mar 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Darren Thompson, DONPI 1942513734
Title
Medical Director /Ceo
Phone
(760) 991-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

12384 Palmdale Rd Ste 104
Victorville, CA 92392-8506

Mailing address

12384 Palmdale Rd Ste 104
Victorville, CA 92392-8506
Phone (760) 991-3000

Other names 1

  • NIGHT OWL FAMILY URGENT CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Night Owl Family Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12384 Palmdale Rd
Ste 104
Victorville, CA 92392
Phone (760) 843-6101

Practitioners & affiliated clinicians

Practitioners 1

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": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1194285700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12384 PALMDALE RD STE 104",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928506",
            "telephone_number": "760-991-3000",
            "fax_number": "760-995-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12384 PALMDALE RD STE 104",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928506",
            "telephone_number": "760-991-3000",
            "fax_number": "760-995-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FAMILY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR /CEO",
        "authorized_official_telephone_number": "760-991-3300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIGHT OWL FAMILY URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.