Active NPI
Novak Urgent Care Inc
- Urgent Care Clinic/Center
- Indio, CA
National Provider Identifier
1376601260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- G51883
- Legal business name
- NOVAK URGENT CARE INC
- Practice address
- 80545 US Highway 111
Indio, CA 92201 - Phone
- (760) 347-9221
- Fax
- (760) 347-6114
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steve Novak, MD
- Title
- Medical Director
- Phone
- (760) 347-9221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | G51883 | CA | Primary |
Addresses
Primary practice location
80545 US Highway 111
Indio, CA 92201
Mailing address
80545 US Highway 111
Indio, CA 92201
Phone (760) 347-9221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G518830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
80545 US Highway 111
Indio, CA 92201
Phone (760) 347-9221
Practitioners & affiliated clinicians
Practitioners 1
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": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503619200000",
"number": "1376601260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80545 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "92201",
"telephone_number": "760-347-9221",
"fax_number": "760-347-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80545 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "92201",
"telephone_number": "760-347-9221",
"fax_number": "760-347-6114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAK URGENT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2017-08-25",
"status": "A",
"authorized_official_last_name": "NOVAK",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "760-347-9221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "G51883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G518830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.