NPIMap

Organization Active NPI

Wilson Izquierdo MD, Inc

  • Urgent Care Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1306106000
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A117127 Issued in CA
Legal business name
WILSON IZQUIERDO MD, INC
Practice address
1850 S Waterman Ave
Suite F / Urgent Family Center
San Bernardino, CA 92408-2877
Phone
(909) 890-9393
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Wilson Izquierdo, MDNPI 1396998944
Title
Physician
Phone
(909) 289-4947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A117127 CA Primary

Addresses

Primary practice location

1850 S Waterman Ave
Suite F / Urgent Family Center
San Bernardino, CA 92408-2877

Mailing address

1850 S Waterman Ave
Suite F / Urgent Family Center
San Bernardino, CA 92408-2877
Phone (909) 890-9393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1306106000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S WATERMAN AVE",
            "address_2": "SUITE F / URGENT FAMILY CENTER",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082877",
            "telephone_number": "909-890-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S WATERMAN AVE",
            "address_2": "SUITE F / URGENT FAMILY CENTER",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082877",
            "telephone_number": "909-890-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON IZQUIERDO MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-289-4947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A117127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.