NPIMap

Organization Active NPI

Davis Urgent Care Inc.

  • Specialist
  • Davis, CA
National Provider Identifier
1669858817
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DAVIS URGENT CARE INC.
Practice address
4515 Fermi PL
Suite 105
Davis, CA 95618-9410
Phone
(916) 479-9110
Fax
(916) 226-2656
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Mrs. Beverly Jane Capel
Title
Manager
Phone
(916) 479-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4515 Fermi PL
Suite 105
Davis, CA 95618-9410

Mailing address

4515 Fermi PL
Suite 105
Davis, CA 95618-9410
Phone (916) 479-9110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214001489 CA Part B Supplier - Clinic/Group Practice 3779884937 Receives reassigned benefits from 22 practitioners
Practice locations: Davis, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1669858817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL",
            "address_2": "SUITE 105",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189410",
            "telephone_number": "916-479-9110",
            "fax_number": "916-226-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL",
            "address_2": "SUITE 105",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189410",
            "telephone_number": "916-479-9110",
            "fax_number": "916-226-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "CAPEL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-479-9110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.