Moreno Valley Urgent Care Clinic, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A4349 Issued in CA

Legal business name

MORENO VALLEY URGENT CARE CLINIC, INC

Practice address

1744 University Ave
Suite 100
Riverside, CA 92507-5364

Phone

(951) 243-5586

Fax

(951) 243-5050

NPI assigned

Oct 18, 2013

Organization subpart

Yes

Parent organization

MORENO VALLEY URGENT CARE CLINIC, INCAs reported in NPPES

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

Authorized official

Name

Dr. James Alvin Harrison, MD

Title

Presidnet / Ceo

Phone

(951) 243-5050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moreno Valley Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Moreno Valley, CA
  • NPI 1144273194

  O20090209000013

  Same enrollment

Part of

Moreno Valley Urgent Care

Locations

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1215365754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE",
            "address_2": "SUITE E1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 UNIVERSITY AVE",
            "address_2": "SUITE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075364",
            "telephone_number": "951-243-5586",
            "fax_number": "951-243-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO VALLEY URGENT CARE CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORENO VALLEY URGENT CARE CLINIC, INC",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDNET / CEO",
        "authorized_official_telephone_number": "951-243-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A4349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meilin Moran, NREMT
• Patrick James Moran, CRNA
• Alfredo Moreira
• Monica Moreira
• Alicia Moreno Alvarez
• Ana Daisy Moreno
• Andy R Moreno, MFTI, RASI
• Arjay Moreno
• Carlos G Moreno, MSW CLIN THER SOC WK
• Carolina Moreno

• Urgent Care Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.