Ideal Urgent Care a Medical Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

IDEAL URGENT CARE A MEDICAL CORPORATION

Practice address

4182 N 1St St Ste 105
Fresno, CA 93726-4300

Phone

(559) 224-3300

Fax

(559) 224-3306

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Camille Munganga, NPNPI 1225342785

Title

Vice President

Phone

(559) 224-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Munganga, NP

  • Family Nurse Practitioner
  • Fresno, CA
  • NPI 1225342785
  Medicare reassignment NPD Authorized official
• Hipolito Gallardo Mariano Jr., M.D

  • General Practice Physician
  • Fresno, CA
  • NPI 1376685685
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245767102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 N 1ST ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264300",
            "telephone_number": "559-224-3300",
            "fax_number": "559-224-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 N 1ST ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264300",
            "telephone_number": "559-224-3300",
            "fax_number": "559-224-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL URGENT CARE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUNGANGA",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "559-224-3300",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagih William Ibrahim, MD
• Alyscia Icardo
• Allen Oviemuno Ichide
• Harriet Ichiyama, NP
• Ideal Care Centers Inc,
• Funmilayo Helen Idemudia, MD
• Rick Wayne Ideta, OD
• Gregory Aifehiengbe Idoni
• Moazah Iftikhar, MBBS
• Annabel Iglesias

• Urgent Care Clinic/Center in Fresno, CA
• Providers in Fresno, 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 Jul 21, 2022; 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.