NPIMap

Organization Active NPI

San Miguel Urgent Care Anaheim a Professional Corporation

  • Urgent Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1396281713
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A34248 Issued in CA
Legal business name
SAN MIGUEL URGENT CARE ANAHEIM A PROFESSIONAL CORPORATION
Practice address
710 S Brookhurst St Ste a
Anaheim, CA 92804-4321
Phone
(714) 494-1331
Fax
(714) 494-1332
NPI assigned
Jan 9, 2017
Organization subpart
Yes
Parent organization
SAN MIGUEL URGENT CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Mahfouz Michael, M.D.NPI 1447369103
Title
President
Phone
(714) 494-1331

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 A34248 CA Primary

Addresses

Primary practice location

710 S Brookhurst St Ste a
Anaheim, CA 92804-4321

Mailing address

710 S Brookhurst St Ste a
Anaheim, CA 92804-4321
Phone (714) 494-1331

Other identifiers 1

IdentifierTypeStateIssuer
GR0016856MedicaidCA

National Provider Directory

National Provider Directory
Part of
San Miguel Urgent Care Anaheim a Professional Corporation

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1396281713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-494-1331",
            "fax_number": "714-494-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-494-1331",
            "fax_number": "714-494-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MIGUEL URGENT CARE ANAHEIM A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN MIGUEL URGENT CARE",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAHFOUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-494-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A34248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0016856",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.