Organization Active NPI

Monterey Peninsula Urgent Care Medical Group Inc

  • General Practice Physician
  • Monterey, CA
National Provider Identifier
1508842873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MONTEREY PENINSULA URGENT CARE MEDICAL GROUP INC
Practice address
245 Washington St
Monterey, CA 93940-2409
Phone
(831) 372-2273
Fax
(831) 372-5840
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ruby Stanley-Cohan
Title
Administrator
Phone
(831) 372-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X CA Primary

Addresses

Primary practice location

245 Washington St
Monterey, CA 93940-2409

Mailing address

245 Washington St
Monterey, CA 93940-2409
Phone (831) 372-2273

Other identifiers 8

IdentifierTypeStateIssuer
00361660OtherCABC/BS
00C433710OtherCABC/BS
C36166OtherCASTATE LICENSE
77047127OtherCATAX ID
00C361660OtherCACHAMPUS
G58815OtherCASTATE LICENSE
00G588151OtherCABC/BS
C43371OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

2930 2nd Ave
#120
Marina, CA 93933
Phone 8313722273123

245 Washington St
Monterey, CA 93940
Phone (831) 372-2273

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508842873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WASHINGTON ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402409",
            "telephone_number": "831-372-2273",
            "fax_number": "831-372-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WASHINGTON ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402409",
            "telephone_number": "831-372-2273",
            "fax_number": "831-372-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PENINSULA URGENT CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STANLEY-COHAN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "831-372-2273"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00361660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00C433710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C36166",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "77047127",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "00C361660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G58815",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00G588151",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C43371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.