Concentra Worksite of California, a Medical Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CONCENTRA WORKSITE OF CALIFORNIA, A MEDICAL CORPORATION

Practice address

1011 Lockheed Way
Building 601, MZ: 1045
Palmdale, CA 93599-0001

Phone

(661) 572-4017

Fax

(661) 572-4873

NPI assigned

Jul 1, 2010

Last updated

Jul 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Tom Fogarty, MD

Title

Evp, Cmo

Phone

(972) 364-8000

Specialties & licenses 1

Addresses

Tax ID family

Concentra Worksite of California a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Concentra Worksite of California, a Medical Corporation

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1053623355
  NPD tax ID

Locations

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1407167729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LOCKHEED WAY",
            "address_2": "BUILDING 601, MZ: 1045",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935990001",
            "telephone_number": "661-572-4017",
            "fax_number": "661-572-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA WORKSITE OF CALIFORNIA, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "EVP, CMO",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gena Collins
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• Enrique Conchas
• Cynthia L Conley
• Connexus Therapy Services
• Consumerhealth, Inc. (Newport Dental - Palmdale (Ortho))
• Consumerhealth, Inc. (Newport Dental - Palmdale)

• Urgent Care Clinic/Center in Palmdale, CA
• Providers in Palmdale, 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 Jul 1, 2010; 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.