NPIMap

Organization Active NPI

Urgent Care Plus Telehealth Inc

Doing business as Telehealth & Urgent Care

  • Urgent Care Clinic/Center
  • Benicia, CA
National Provider Identifier
1356966816
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
Telehealth & Urgent Care
Urgent Care & Telehealth
Practice address
1387 E 2ND St
Benicia, CA 94510-2836
Phone
(707) 377-1005
Fax
(833) 992-2353
NPI assigned
Jun 10, 2020
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
IAN AHWAH MD PROFESSIONAL CORPORATIONAs reported in NPPES

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 AhwahNPI 1699795146
Title
MD
Phone
(925) 718-6622

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 NU Primary

Addresses

Primary practice location

1387 E 2ND St
Benicia, CA 94510-2836

Mailing address

PO Box 3888
San Ramon, CA 94583-8888
Phone (925) 718-6622

Other practice location 1

2360 1st St
Napa, CA 94559-2239
Phone (707) 377-1007

Other names 2

  • Telehealth & Urgent Care Doing business as
  • Urgent Care & Telehealth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210624003870 CA DME Supplier - Physician - Emergency Medicine 0941630123 Practice locations: Benicia, 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
Tax ID family
Ian Ahwah MD Prof Corp2 organizations share this tax ID, including this one
Part of
Ian Ahwah MD Prof Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2360 1st St
Napa, CA 94559
Phone (707) 377-1007

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1356966816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3888",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945838888",
            "telephone_number": "925-718-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 E 2ND ST",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102836",
            "telephone_number": "707-377-1005",
            "fax_number": "833-992-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 1st St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945592239",
            "country_code": "US",
            "telephone_number": "707-377-1007",
            "fax_number": "833-992-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URGENT CARE PLUS TELEHEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IAN AHWAH MD PROFESSIONAL CORPORATION",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "AHWAH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "925-718-6622"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telehealth & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Telehealth & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urgent Care & Telehealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benicia, 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.