Organization Active NPI

Urgent Care Travel, Inc

  • Urgent Care Clinic/Center
  • Fontana, CA
National Provider Identifier
1528510062
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE TRAVEL, INC
Practice address
10650 Sierra Ave Ste B
Fontana, CA 92337-7664
Phone
(310) 471-3753
Fax
(310) 943-2510
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Deborah Katherine Mitchell
Title
Executive Director
Phone
(310) 471-3753

Specialties & licenses 1

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

Addresses

Primary practice location

10650 Sierra Ave Ste B
Fontana, CA 92337-7664

Mailing address

9903 Santa Monica Blvd
Suite 4500
Beverly Hills, CA 90212-1671
Phone (310) 471-3753

National Provider Directory

National Provider Directory

Locations

10650 Sierra Ave
Ste B
Fontana, CA 92337
Phone (310) 471-3753

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1528510062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 SANTA MONICA BLVD",
            "address_2": "SUITE 4500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121671",
            "telephone_number": "310-471-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 SIERRA AVE STE B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377664",
            "telephone_number": "310-471-3753",
            "fax_number": "310-943-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE TRAVEL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-471-3753"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.