Organization Active NPI

Clinica de Salud

  • Urgent Care Clinic/Center
  • Palmdale, CA
National Provider Identifier
1700578499
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CLINICA DE SALUD
Practice address
1823 E Palmdale Blvd Ste I
Palmdale, CA 93550-2022
Phone
(661) 310-0299
Fax
(613) 310-0668
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Ashwani Batra, NPNPI 1235380080
Title
Authorized Official/Ceo
Phone
(616) 310-0299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1823 E Palmdale Blvd Ste I
Palmdale, CA 93550-2022

Mailing address

1823 E Palmdale Blvd Ste I
Palmdale, CA 93550-2022
Phone (661) 310-0299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003000806 CA Part B Supplier - Clinic/Group Practice 6608220199 Receives reassigned benefits from 1 practitioner
Practice locations: Palmdale, CA

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
05D2295540Clinica de Salud1823 E Palmdale Blvd Ste I, Palmdale, CA 93550Certificate of waiverDec 12, 2027

National Provider Directory

National Provider Directory

Locations

1823 E Palmdale Blvd
Ste I
Palmdale, CA 93550
Phone (661) 310-0299

Practitioners & affiliated clinicians

Practitioners 2

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1700578499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 E PALMDALE BLVD STE I",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502022",
            "telephone_number": "661-310-0299",
            "fax_number": "613-310-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 E PALMDALE BLVD STE I",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502022",
            "telephone_number": "661-310-0299",
            "fax_number": "613-310-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "BATRA",
        "authorized_official_first_name": "ASHWANI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/CEO",
        "authorized_official_telephone_number": "616-310-0299",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.