Active NPI
Care 1St Primary and Urgent Care Center - Lancaster
- Family Medicine Physician
- Lancaster, CA
National Provider Identifier
1619244670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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 PLAN
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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.
-
- Health Maintenance Organization
- Monterey Park, CA
- NPI 1649423856
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.