Haven Elite Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HAVEN ELITE URGENT CARE

Doing business as

Haven Elite Urgent Care

Practice address

6417 Haven Ave Ste 110
Rancho Cucamonga, CA 91737

Phone

(909) 941-2273

NPI assigned

Apr 3, 2018

Last updated

Nov 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yi Zhang, MDNPI 1164466322

Title

Owner

Phone

(909) 941-2273

Specialties & licenses 1

Addresses

Other names 1

• Haven Elite Urgent Care Doing business as

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 12

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.

• Yi Zhang, M.D.

  • Emergency Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1164466322
  Medicare reassignment Care Compare group NPD Authorized official
• Ethan Min Chen, MD

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1073170312
  Medicare reassignment Care Compare group NPD
• Henry C Cho, MD

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1710484746
  Medicare reassignment Care Compare group NPD
• Truongson Huu Nguyen, D.O.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1629517792
  Medicare reassignment Care Compare group NPD
• Michelle Latoya Oneil, D.O

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1629361688
  Medicare reassignment Care Compare group NPD
• Nazita Adili-Khams, M.D.

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1033179676
  Medicare reassignment NPD
• Nadine Cosico, PA-C

  • Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1992811749
  Medicare reassignment NPD
• Brian Im, PA

  • Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1700186491
  Medicare reassignment NPD
• Sabina Berkeley Moore-Cohen, MD

  • Emergency Medicine Physician
  • San Bernardino, CA
  • NPI 1558533000
  Medicare reassignment NPD
• Victoria Allissa Perez, PA-C

  • Physician Assistant
  • Wildomar, CA
  • NPI 1649050444
  Medicare reassignment NPD
• Hal E. Richardson, MD

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1750439543
  Medicare reassignment NPD
• Fred M Watkins, M.D.

  • Family Medicine Physician
  • Corona, CA
  • NPI 1417244591
  Medicare reassignment NPD

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1619473154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 HAVEN AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373804",
            "telephone_number": "909-941-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 HAVEN AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91737",
            "telephone_number": "909-941-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN ELITE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-941-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Elite Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zahra Hassan
• Pranav Hastak
• Andreu Hastings
• Ciyani Hatchett
• Haven Chiropractic Clinic
• Haven Eye Institute Inc
• Haven Family Medical Center Inc
• Haven Family Medical Center Inc.
• Haven Family Medical Center, Inc.
• Haven Medical Clinic

• Urgent Care Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Nov 27, 2018; 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.