Meridian Urgent Care and Occupational Health Center a Professional Cor

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

20A6930 Issued in CA

Legal business name

MERIDIAN URGENT CARE AND OCCUPATIONAL HEALTH CENTER A PROFESSIONAL COR

Practice address

12821 Main St
Suite 140
Hesperia, CA 92345-9126

Phone

(760) 242-7707

Fax

(760) 242-1133

NPI assigned

Jul 22, 2009

Last updated

May 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan Vasile, D.O.NPI 1841353869

Title

Owner/President

Phone

(760) 242-7707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Meridian Urgent Care & Occupational Health Center a Professional Corp

  • Urgent Care Clinic/Center
  • Apple Valley, CA
  • NPI 1922289099

  O20090112000121

  Same enrollment
• Meridian Urgent Care and Occupational Health Center a Professional Cor

  • Urgent Care Clinic/Center
  • Barstow, CA
  • NPI 1073743183

  O20090112000121

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Meridian Urgent Care and Occupational Health Center a Professional Cor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Meridian Urgent Care & Occupational Health Center a Professional Corp

  • Urgent Care Clinic/Center
  • Apple Valley, CA
  • NPI 1922289099
  NPD tax ID
• Meridian Urgent Care and Occupational Health Center a Professional Cor

  • Urgent Care Clinic/Center
  • Barstow, CA
  • NPI 1073743183
  NPD tax ID

Locations

Practitioners 3

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.

• Dan Vasile, D.O

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1841353869
  NPD Authorized official
• Song Siameng Jann, PA-C

  • Medical Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1114143211
  NPD (past)
• Linnea Desiree Marchand, FNP

  • Family Nurse Practitioner
  • Crossville, TN
  • NPI 1043442049
  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1235369448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 MAIN ST",
            "address_2": "SUITE 140",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459126",
            "telephone_number": "760-242-7707",
            "fax_number": "760-242-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 MAIN ST",
            "address_2": "SUITE 140",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459126",
            "telephone_number": "760-242-7707",
            "fax_number": "760-242-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN URGENT CARE AND OCCUPATIONAL HEALTH CENTER A PROFESSIONAL COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "VASILE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "760-242-7707",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "20A6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carrie Michelson, PHARMD
• Isis Miette

• Urgent Care Clinic/Center in Hesperia, CA
• Providers in Hesperia, 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 May 27, 2015; 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.

Verify at the official NPI Registry.