Castaic Urgent Care, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CASTAIC URGENT CARE, INC.

Practice address

31905 Castaic Road
Castaic, CA 91384

Phone

(661) 294-0700

Fax

(661) 294-0701

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lee Jackson Jr.

Title

Coo / Owner

Phone

(805) 253-6708

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1245583749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31905 CASTAIC ROAD",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "91384",
            "telephone_number": "661-294-0700",
            "fax_number": "661-294-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31905 CASTAIC ROAD",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "91384",
            "telephone_number": "661-294-0700",
            "fax_number": "661-294-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTAIC URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "COO / OWNER",
        "authorized_official_telephone_number": "805-253-6708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G82000",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Steven Bouldin
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• Shannon Andrade Calvillo
• Christianne Cardriche, LMFT
• Castaic Dental Center
• Charu Aggarwal DDS Inc
• Li Chun Che, D.D.S.
• Michael S Cohn, PH.D.
• Gina Belinda Collins, MS, LMFT
• Community Birth Group

• Urgent Care Clinic/Center in Castaic, CA
• Providers in Castaic, 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 Dec 19, 2012; 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.