Organization Active NPI

Express Walk-in Clinic

  • Urgent Care Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1417726852
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EXPRESS WALK-IN CLINIC
Practice address
18182 US Highway 18 Ste 106
Apple Valley, CA 92307-2200
Phone
(760) 503-6120
Fax
(760) 503-6120
NPI assigned
Dec 27, 2023
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Elizabeth Scieneaux
Title
Office Manager
Phone
(760) 523-6205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

18182 US Highway 18 Ste 106
Apple Valley, CA 92307-2200

Mailing address

18182 US Highway 18 Ste 106
Apple Valley, CA 92307-2200
Phone (760) 503-6116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240503000757 CA Part B Supplier - Clinic/Group Practice 4385084664 Receives reassigned benefits from 4 practitioners
Practice locations: Apple Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2306916Express Walk in Clinic18182 US Highway 18 Ste 106, Apple Valley, CA 92307Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1417726852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18182 US HIGHWAY 18 STE 106",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072200",
            "telephone_number": "760-503-6116",
            "fax_number": "760-503-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18182 US HIGHWAY 18 STE 106",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072200",
            "telephone_number": "760-503-6120",
            "fax_number": "760-503-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "SCIENEAUX",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-523-6205"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.