NPIMap

Organization Active NPI

Urgent Care Plus Telehealth Inc

Doing business as urgent care and telehealth

  • Urgent Care Clinic/Center
  • Sonoma, CA
National Provider Identifier
1326759739
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE PLUS TELEHEALTH INC
Doing business as
urgent care and telehealth
Practice address
446 W Napa St
Sonoma, CA 95476-6519
Phone
(707) 940-1001
NPI assigned
Dec 6, 2022
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Ian Ahwah
Title
Owner
Phone
(707) 377-1005

Specialties & licenses 1

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

Addresses

Primary practice location

446 W Napa St
Sonoma, CA 95476-6519

Mailing address

PO Box 27430
Belfast, ME 04915-2026

Other names 1

  • urgent care and telehealth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230420001985 CA DME Supplier - Physician - Emergency Medicine 0941630123 Practice locations: Sonoma, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1326759739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27430",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 W NAPA ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766519",
            "telephone_number": "707-940-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE PLUS TELEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-10-12",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "AHWAH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-377-1005"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "urgent care and telehealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "urgent care and telehealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.