Organization Active NPI

Novak Urgent Care Inc

  • Urgent Care Clinic/Center
  • Indio, CA
National Provider Identifier
1376601260
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
G51883 Issued in CA
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

Updated by the provider on Aug 25, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G518830MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.