Brea Urgent Care Incorporated

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BREA URGENT CARE INCORPORATED

Practice address

395 West Central Ave
Suite a
Brea, CA 92821

Phone

(949) 752-6300

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By 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

Dr. Bruce Mark Albert, MDNPI 1528041704

Title

Owner, Medical Director

Phone

(949) 752-6300

Specialties & licenses 1

Addresses

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 8

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.

• Bruce M Albert, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Irvine, CA
  • NPI 1528041704
  Medicare reassignment Authorized official
• Michael Ross Land, D.O.

  • Occupational Medicine Physician
  • Newport Beach, CA
  • NPI 1184057291
  Medicare reassignment
• Jason Lawrence Sachman, M.D.

  • General Practice Physician
  • San Jose, CA
  • NPI 1417275702
  Medicare reassignment
• Pravin Shaw, D.O.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1407136187
  Medicare reassignment
• Zehra Zahed, PA-C

  • Physician Assistant
  • Brea, CA
  • NPI 1093581142
  NPD
• Nima Alipour, D.O.

  • Occupational Medicine Physician
  • Hawthorne, CA
  • NPI 1639300106
  NPD (past)
• Edwin Enwia, PA-C

  • Physician Assistant
  • Newport Beach, CA
  • NPI 1174015192

  Urgent Care

  NPD (past)
• Tim Harju, PAC

  • Physician Assistant
  • Long Beach, CA
  • NPI 1588620983
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1639413388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 WEST CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "949-752-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 WEST CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "949-752-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA URGENT CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-752-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey Arthur Brenner, PT, DPT
• Eugene Briano

• Urgent Care Clinic/Center in Brea, CA
• Providers in Brea, 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 19, 2012; 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.