Pasadena Urgent Care, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A95190 Issued in CA

Legal business name

PASADENA URGENT CARE, INC

Practice address

797 S Arroyo Pkwy
Pasadena, CA 91105-3234

Phone

(626) 304-0404

Fax

(626) 304-0405

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Marc Howard Shomer, MDNPI 1457457483

Title

Ceo

Phone

(626) 304-0404

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Urgent Care of Pasadena Doing business as

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Laguna Beach Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Laguna Beach, CA
  • NPI 1710340559

  Member Of

  NPD member

Practitioners 5

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

• Marc Howard Shomer, M.D., PH.D.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1457457483
  Medicare reassignment NPD Authorized official
• Emeen Aghassi Kiureghian, D.O.

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1710273073
  Medicare reassignment NPD
• John Miguel, M.D.

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1851484661
  Medicare reassignment NPD
• Deborah Lynn Gregory, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1093472607
  NPD (past)
• Robert Alan Yoho, M.D.

  • Emergency Medicine Physician
  • Pasadena, CA
  • NPI 1699792127
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1265854673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295075",
            "telephone_number": "626-304-0404",
            "fax_number": "626-304-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053234",
            "telephone_number": "626-304-0404",
            "fax_number": "626-304-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SHOMER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-304-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A95190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB214392",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB213364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Urgent Care of Pasadena",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Urgent Care of Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Pasadena, CA
• Providers in Pasadena, 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 Feb 2, 2021; 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.