Organization Active NPI

Medprem Urgent Care Center Business TR

  • Urgent Care Clinic/Center
  • Sunnyvale, TX
National Provider Identifier
1467844373
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDPREM URGENT CARE CENTER BUSINESS TR
Practice address
3705 N Belt Line Rd
Suite 150
Sunnyvale, TX 75182-9211
Phone
(469) 230-8666
NPI assigned
Mar 2, 2015
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Juliana OwusuNPI 1780847327
Title
Owner
Phone
(972) 203-9000

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 NU Primary

Addresses

Primary practice location

3705 N Belt Line Rd
Suite 150
Sunnyvale, TX 75182-9211

Mailing address

3705 N Belt Line Rd
Suite 150
Sunnyvale, TX 75182-9211
Phone (469) 230-8666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151028000383 TX Part B Supplier - Clinic/Group Practice 8325357692 Receives reassigned benefits from 2 practitioners
Practice locations: Sunnyvale, TX

National Provider Directory

National Provider Directory

Locations

3705 N Belt Line Rd
Ste 150
Sunnyvale, TX 75182
Phone (469) 230-8666

Practitioners & affiliated clinicians

Practitioners 2

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": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1467844373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 N BELT LINE RD",
            "address_2": "SUITE 150",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829211",
            "telephone_number": "469-230-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 N BELT LINE RD",
            "address_2": "SUITE 150",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829211",
            "telephone_number": "469-230-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPREM URGENT CARE CENTER BUSINESS TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-203-9000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.