Organization Active NPI

Industrial Urgent Care, Inc.

  • Clinic/Center
  • Calexico, CA
National Provider Identifier
1659421287
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A90840 Issued in CA
Legal business name
INDUSTRIAL URGENT CARE, INC.
Practice address
120 W Cole Rd
Suite B
Calexico, CA 92231-9700
Phone
(760) 357-8355
Fax
(760) 357-0803
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
James E Creek, M.D.
Title
Owner
Phone
(760) 357-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A90840 CA Primary

Addresses

Primary practice location

120 W Cole Rd
Suite B
Calexico, CA 92231-9700

Mailing address

120 W Cole Rd
Suite B
Calexico, CA 92231-9700
Phone (760) 357-8355

Other identifiers 2

IdentifierTypeStateIssuer
A90840OtherCAM.D. STATE LICENSE
00G237141MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1659421287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W COLE RD",
            "address_2": "SUITE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319700",
            "telephone_number": "760-357-8355",
            "fax_number": "760-357-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W COLE RD",
            "address_2": "SUITE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319700",
            "telephone_number": "760-357-8355",
            "fax_number": "760-357-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "CREEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-357-8355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A90840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.D. STATE LICENSE",
            "identifier": "A90840",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G237141",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.