Organization Active NPI

Superior Health & Wellness Medical Group a Professional Corporation

  • Urgent Care Clinic/Center
  • Yorba Linda, CA
National Provider Identifier
1609299320
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
20A12144 Issued in CA
Legal business name
SUPERIOR HEALTH & WELLNESS MEDICAL GROUP A PROFESSIONAL CORPORATION
Practice address
22224 La Palma Ave
Suite a
Yorba Linda, CA 92887-3819
Phone
(714) 696-7769
Fax
(714) 696-7949
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Andrew Germanovich, DO
Title
Medical Director
Phone
(714) 696-7769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 20A12144 CA Primary

Addresses

Primary practice location

22224 La Palma Ave
Suite a
Yorba Linda, CA 92887-3819

Mailing address

22224 La Palma Ave
Suite a
Yorba Linda, CA 92887-3819
Phone (714) 696-7769

Other names 1

  • SUPERIOR URGENT CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1609299320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22224 LA PALMA AVE",
            "address_2": "SUITE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873819",
            "telephone_number": "714-696-7769",
            "fax_number": "714-696-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22224 LA PALMA AVE",
            "address_2": "SUITE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873819",
            "telephone_number": "714-696-7769",
            "fax_number": "714-696-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH & WELLNESS MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "GERMANOVICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-696-7769",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "20A12144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.