Active NPI
Urgent Care Travel, Inc
- Urgent Care Clinic/Center
- Fontana, CA
National Provider Identifier
1528510062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.