Alliance Urgent Care, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ALLIANCE URGENT CARE, INC

Practice address

3853 W Stetson Ave
Suite 100
Hemet, CA 92545-9674

Phone

(951) 929-6900

Fax

(951) 929-6800

NPI assigned

Dec 6, 2011

Last updated

Aug 16, 2019By 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

John Ellis, M.D.NPI 1750351771

Title

Ceo

Phone

(951) 929-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHIDAA

Practitioners 8

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.

• John G Ellis, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Temecula, CA
  • NPI 1750351771
  Medicare reassignment NPD Authorized official
• Eric Huy Dang, MD

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1861998049
  Medicare reassignment NPD
• Margaret Mandry, PA-C

  • Physician Assistant
  • Emeryville, CA
  • NPI 1295812295
  Medicare reassignment
• Ricky A Oldenburg, PA-C

  • Physician Assistant
  • Wildomar, CA
  • NPI 1598849374
  Medicare reassignment
• Jaime De'Jesus Perez, PA-C

  • Physician Assistant
  • Riverside, CA
  • NPI 1629373030
  Medicare reassignment
• Paul Rogers, P.A.

  • Physician Assistant
  • Apple Valley, CA
  • NPI 1336389402
  Medicare reassignment
• Terry Eugene Taylor III, PA-C

  • Physician Assistant
  • Yucaipa, CA
  • NPI 1275120313
  Medicare reassignment
• Levon James Thomas, PA-C

  • Physician Assistant
  • Riverside, CA
  • NPI 1912299124
  Medicare reassignment

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1265700157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 W STETSON AVE",
            "address_2": "SUITE 100",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 W STETSON AVE",
            "address_2": "SUITE 100",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459674",
            "telephone_number": "951-929-6900",
            "fax_number": "951-929-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6141 Valley Springs Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925070954",
            "country_code": "US",
            "telephone_number": "951-305-4722",
            "fax_number": "951-653-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-929-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Elizabeth Allen, LCSW
• Christina Ann Allen
• Coralyn F Allen, LCSW
• Delvonia Estella Allen
• Shakerra Allen
• Adam Alluis
• Timothy Dwight Almquist, M.D.
• Diane Altamirano-Whittaker
• Dennis Brian Alters, MD
• Fabiola Alvarado Valadez, BEHAVIOR TECHNICIAN

• Urgent Care Clinic/Center in Hemet, CA
• Providers in Hemet, 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 Aug 16, 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.

Verify at the official NPI Registry.