Lake Elsinore Urgent Care Center

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LAKE ELSINORE URGENT CARE CENTER

Practice address

433 Diamond Drive
Suite E
Lake Elsinore, CA 92530

Phone

(951) 942-0139

NPI assigned

Aug 4, 2025

Organization subpart

No

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

Authorized official

Name

William Van Noll

Title

Director, Billing

Phone

(818) 321-4374

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Robert Babak Hashemiyoon, MD

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1205903762
  Medicare reassignment NPD

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1326922170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 DIAMOND DRIVE",
            "address_2": "SUITE E",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-942-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ELSINORE URGENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "VAN NOLL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR, BILLING",
        "authorized_official_telephone_number": "818-321-4374"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Can Lai
• Lake Elsinore Clinica Medica Familiar a Medical Corporation
• Lake Elsinore Congregate Care Inc.
• Lake Elsinore Diagnostics
• Lake Elsinore Unified School District
• Lakeshore Medical Clinic Inc
• Lakeshore Medical Clinic Inc
• Lakeside Pharmacy
• Amanda Sophie Lam
• Patricia Lamas

• Urgent Care Clinic/Center in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 4, 2025; 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.