NPIMap

Organization Active NPI

East County Urgent Care Industrial & Medical Clinic Inc

  • Urgent Care Clinic/Center
  • El Cajon, CA
National Provider Identifier
1417988668
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EAST COUNTY URGENT CARE INDUSTRIAL & MEDICAL CLINIC INC
Practice address
1625 E Main St
Ste 100
El Cajon, CA 92021-5211
Phone
(619) 442-9896
Fax
(619) 442-2245
NPI assigned
Jul 5, 2006
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Mrs. Carmen Carneiro-Rojas, MDNPI 1649672395
Title
Medical Director
Phone
(619) 442-9896

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Emergency Medicine Physician 207P00000X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1625 E Main St
Ste 100
El Cajon, CA 92021-5211

Mailing address

1625 E Main St
Ste 100
El Cajon, CA 92021-5211
Phone (619) 442-9896

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ32878ZOtherCABLUE SHIELD PROVIDER NUMB
GR0028700MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101007000431 CA Part B Supplier - Clinic/Group Practice 5294927356 Receives reassigned benefits from 12 practitioners
Practice locations: El Cajon, CA
O20180428000009 CA DME Supplier - Physician - General Surgery 5294927356 Practice locations: El Cajon, CA

National Provider Directory

National Provider Directory

Locations

1625 E Main St
Ste 100
El Cajon, CA 92021
Phone (619) 404-5333

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1417988668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E MAIN ST",
            "address_2": "STE 100",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215211",
            "telephone_number": "619-442-9896",
            "fax_number": "619-442-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E MAIN ST",
            "address_2": "STE 100",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215211",
            "telephone_number": "619-442-9896",
            "fax_number": "619-442-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COUNTY URGENT CARE INDUSTRIAL & MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "CARNEIRO-ROJAS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-442-9896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ32878Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0028700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.