NPIMap

Organization Active NPI

Urgent Care Plus Telehealth Inc

  • Urgent Care Clinic/Center
  • Petaluma, CA
National Provider Identifier
1447082045
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE PLUS TELEHEALTH INC
Practice address
440 E Washington St
Petaluma, CA 94952-5923
Phone
(707) 940-5005
NPI assigned
Aug 14, 2024
Organization subpart
Yes
Parent organization
URGENT CARE PLUS TELEHEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Ian Ahwah
Title
Owner
Phone
(707) 377-1005

Specialties & licenses 1

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

Addresses

Primary practice location

440 E Washington St
Petaluma, CA 94952-5923

Mailing address

440 E Washington St
Petaluma, CA 94952-5923
Phone (707) 940-5005

National Provider Directory

National Provider Directory
Part of
Ian Ahwah MD Prof Corp

Locations

440 E Washington St
Ste D
Petaluma, CA 94952
Phone (707) 940-5005

440 E Washington St
Petaluma, CA 94952
Phone (707) 940-5005

446 W Napa St
Sonoma, CA 95476
Phone (707) 690-5332

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1447082045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E WASHINGTON ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525923",
            "telephone_number": "707-940-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E WASHINGTON ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525923",
            "telephone_number": "707-940-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE PLUS TELEHEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URGENT CARE PLUS TELEHEALTH INC",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "AHWAH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-377-1005"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.