Express Medicine Urgent Care, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A101860 Issued in CA

Legal business name

EXPRESS MEDICINE URGENT CARE, INC.

Practice address

5700 Stoneridge Mall Rd
Suite 100
Pleasanton, CA 94588-2822

Phone

(925) 915-9530

NPI assigned

Jul 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Chao Sun, M.D.NPI 1013118884

Title

President/Director

Phone

(925) 915-9530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Chao Sun, M.D.

  • Occupational Medicine Physician
  • Pleasanton, CA
  • NPI 1013118884
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342224000000",
    "number": "1578818696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD",
            "address_2": "SUITE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882822",
            "telephone_number": "925-915-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD",
            "address_2": "SUITE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882822",
            "telephone_number": "925-915-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICINE URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-14",
        "last_updated": "2012-07-14",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "CHAO",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "925-915-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A101860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Evans
• Scott Gavin Ewing, D.D.S.
• Maya Eylon, MD
• Ez Way Transport LLC
• Ashley Facciolla
• Isabelle Anne Faller
• Hasti R Farahani, PHARM D

• Urgent Care Clinic/Center in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.