Active NPI
Monterey Peninsula Urgent Care Medical Group Inc
- General Practice Physician
- Monterey, CA
National Provider Identifier
1508842873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00361660 | Other | CA | BC/BS |
| 00C433710 | Other | CA | BC/BS |
| C36166 | Other | CA | STATE LICENSE |
| 77047127 | Other | CA | TAX ID |
| 00C361660 | Other | CA | CHAMPUS |
| G58815 | Other | CA | STATE LICENSE |
| 00G588151 | Other | CA | BC/BS |
| C43371 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Monterey, CA
- NPI 1255347753
-
- Emergency Medicine Physician
- Monterey, CA
- NPI 1093845943
-
- Emergency Medicine Physician
- Dededo, GU
- NPI 1982611950
-
- Emergency Medical Services (Emergency Medicine) Physician
- Monterey, CA
- NPI 1528171311
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
- Monterey Peninsula Surgery Center LLC
- Monterey Peninsula Surgery Center LLC
- Monterey Peninsula Surgery Center LLC
- Monterey Peninsula Surgery Center LLC
- Monterey Peninsula Unified School District
- Monterey Penninsula Orthotic and Prosthetic Services,LLC
- Monterey Physicians Medical Group
- Monterey Pines Skilled Nursing Facility, Inc.
- Monterey Rape Crisis Center
- Monterey Salinas Transit District
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.