NPIMap

Organization Active NPI

Southern California Emergency Medicine

  • Urgent Care Clinic/Center
  • Hemet, CA
National Provider Identifier
1689474173
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTHERN CALIFORNIA EMERGENCY MEDICINE
Practice address
3853 W Stetson Ave Ste 100
Hemet, CA 92545-9675
Phone
(951) 929-6900
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Jennifer Brunk
Title
Contracting/Credentialing Manager
Phone
(909) 596-6349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3853 W Stetson Ave Ste 100
Hemet, CA 92545-9675

Mailing address

1407 Foothill Blvd # 14
La Verne, CA 91750-3451

Other names 1

  • Hemet Urgent Care Center Doing business as

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
05D2038616Hemet Urgent Care Center3853 W Stetson Ave Ste 100, Hemet, CA 92545Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Southern California Emergency Medicine5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1689474173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 FOOTHILL BLVD # 14",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 W STETSON AVE STE 100",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459675",
            "telephone_number": "951-929-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA EMERGENCY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "BRUNK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CONTRACTING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "909-596-6349"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemet Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.