Organization Active NPI

Care 1St Primary and Urgent Care Center - Lancaster

  • Family Medicine Physician
  • Lancaster, CA
National Provider Identifier
1619244670
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARE 1ST PRIMARY AND URGENT CARE CENTER - LANCASTER
Practice address
44426 10TH St W
A
Lancaster, CA 93534-3325
Phone
(661) 948-2400
NPI assigned
Nov 18, 2011
Organization subpart
Yes
Parent organization
CARE1ST HEALTH PLANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Michelle Tyson, MD
Title
MD
Phone
(661) 948-2400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X CA Primary
Primary Care Clinic/Center 261QP2300X CA
Urgent Care Clinic/Center 261QU0200X CA

Addresses

Primary practice location

44426 10TH St W
A
Lancaster, CA 93534-3325

Mailing address

44426 10TH St W
A
Lancaster, CA 93534-3325
Phone (661) 948-2400

National Provider Directory

National Provider Directory
Part of
Blue Shield Promise Health Plan

Locations

44426 10th St W
#A
Lancaster, CA 93534
Phone (661) 448-8910

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1619244670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44426 10TH ST W",
            "address_2": "A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343325",
            "telephone_number": "661-948-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44426 10TH ST W",
            "address_2": "A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343325",
            "telephone_number": "661-948-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE 1ST PRIMARY AND URGENT CARE CENTER - LANCASTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE1ST HEALTH PLAN",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "661-948-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.