Active NPI
Premium Urgent Care, Inc.
- Urgent Care Clinic/Center
- Selma, CA
National Provider Identifier
1215455779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PREMIUM URGENT CARE, INC.
- Practice address
- 3000 Floral Ave
Selma, CA 93662-9414 - Phone
- (559) 797-4315
- Fax
- (559) 321-8730
- NPI assigned
- Sep 5, 2017
- 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
- Erick Green, MD
- Title
- Owner
- Phone
- (559) 797-4315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
3000 Floral Ave
Selma, CA 93662-9414
Mailing address
7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 797-4315
Other names 1
- Premium Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
565 W Shaw Ave
Clovis, CA 93612
Phone (559) 475-9750
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Clovis, CA
- NPI 1285361014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556755200000",
"number": "1215455779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7471 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202457",
"telephone_number": "559-797-4315",
"fax_number": "559-321-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 FLORAL AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936629414",
"telephone_number": "559-797-4315",
"fax_number": "559-321-8730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM URGENT CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-05",
"last_updated": "2019-05-02",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "ERICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-797-4315",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premium Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.