Organization Active NPI

Rouel Enterprises Inc.

Doing business as Jamacha Urgent Medical Center

  • Family Medicine Physician
  • El Cajon, CA
National Provider Identifier
1629453808
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROUEL ENTERPRISES INC.
Doing business as
Jamacha Urgent Medical Center
Practice address
860 Jamacha Road
Suite 107
El Cajon, CA 92019-3225
Phone
(619) 456-9920
Fax
(619) 456-9340
NPI assigned
Jul 29, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Linda RouelNPI 1326128950
Title
MD
Phone
(619) 456-9920

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

860 Jamacha Road
Suite 107
El Cajon, CA 92019-3225

Mailing address

860 Jamacha Road
Suite 107
El Cajon, CA 92019-3225
Phone (619) 456-9920

Other names 1

  • Jamacha Urgent Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150925002575 CA Part B Supplier - Clinic/Group Practice 3577871409 Receives reassigned benefits from 2 practitioners
Practice locations: El Cajon, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2105804Jamacha Urgent Medical Center860 Jamacha Rd Ste 107, El Cajon, CA 92019Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

860 Jamacha Rd
Ste 107
El Cajon, CA 92019
Phone (619) 456-9920

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1629453808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 JAMACHA ROAD",
            "address_2": "SUITE 107",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193225",
            "telephone_number": "619-456-9920",
            "fax_number": "619-456-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 JAMACHA ROAD",
            "address_2": "SUITE 107",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193225",
            "telephone_number": "619-456-9920",
            "fax_number": "619-456-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUEL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ROUEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-456-9920"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamacha Urgent Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.