Organization Active NPI

Industrial Medical Services & Urgent Care Incorporation

  • Urgent Care Clinic/Center
  • Victorville, CA
National Provider Identifier
1598096315
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
INDUSTRIAL MEDICAL SERVICES & URGENT CARE INCORPORATION
Practice address
13024 Hesperia Rd
Suite 101
Victorville, CA 92395-8302
Phone
(760) 951-4811
Fax
(760) 951-4833
NPI assigned
Jan 18, 2010
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Mr. Andrew Adedapo Adesida, PA15768NPI 1528101201
Title
Physician Assistant
Phone
(760) 951-4811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PA15768 CA
Primary Care Clinic/Center 261QP2300X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

13024 Hesperia Rd
Suite 101
Victorville, CA 92395-8302

Mailing address

13024 Hesperia Rd
Suite 101
Victorville, CA 92395-8302
Phone (760) 951-4811

National Provider Directory

National Provider Directory

Locations

15963 Quantico Rd
Ste B
Apple Valley, CA 92307
Phone (760) 242-8100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1598096315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 HESPERIA RD",
            "address_2": "SUITE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958302",
            "telephone_number": "760-951-4811",
            "fax_number": "760-951-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 HESPERIA RD",
            "address_2": "SUITE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958302",
            "telephone_number": "760-951-4811",
            "fax_number": "760-951-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL MEDICAL SERVICES & URGENT CARE INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ADESIDA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ADEDAPO",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "760-951-4811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA15768"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "PA15768",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.