Sick Clinic Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SICK CLINIC INC

Practice address

2507 Eastbluff Dr Ste C
Newport Beach, CA 92660-3504

Phone

(888) 544-9262

Fax

(949) 264-9028

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Michael Hsu

Title

Cfo

Phone

(562) 244-1959

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 5

Locations

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1699369561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 EASTBLUFF DR STE C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603504",
            "telephone_number": "888-544-9262",
            "fax_number": "949-264-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 EASTBLUFF DR STE C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603504",
            "telephone_number": "888-544-9262",
            "fax_number": "949-264-9028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Saint Claude Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701178455",
            "country_code": "US",
            "telephone_number": "888-544-9262",
            "fax_number": "949-264-9028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300222427",
            "country_code": "US",
            "telephone_number": "888-544-9262",
            "fax_number": "949-264-9028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "888-544-9262",
            "fax_number": "949-264-9028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 W Troy St Ste B",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363034455",
            "country_code": "US",
            "telephone_number": "888-544-9262",
            "fax_number": "949-264-9028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SICK CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "562-244-1959"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A100885",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELEMEDICINE LICENSE",
            "identifier": "TPME1713",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.SICK.ORG",
            "affiliation": "N",
            "address_1": "2507 Eastbluff Dr Ste C",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926603504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrChrono",
            "affiliation": "N",
            "address_1": "4700 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300222427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sick.org",
            "affiliation": "N",
            "address_1": "7901 4th St N Ste 300",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337024399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sick.org",
            "affiliation": "N",
            "address_1": "2221 Saint Claude Ave",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701178455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sick.org",
            "affiliation": "N",
            "address_1": "212 W Troy St Ste B",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363034455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Ann Shreenan, LMFT
• Samantha Shtockmaster
• George Shunda
• Julie Sias
• Agustin Sibona, M.D.
• Ammar Siddiqi
• Asmeet Kaur Sidhu
• Hubert Emery Sie, M.D.
• George Siegel, M.A.
• Sierra Acupuncture Group

• Multi-Specialty Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.