Organization Active NPI

Express Urgentcare Inc

Doing business as Express UrgentCare

  • Urgent Care Clinic/Center
  • Diamond Bar, CA
National Provider Identifier
1710667118
Registry record updated Oct 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EXPRESS URGENTCARE INC
Doing business as
Express UrgentCare
Practice address
750 N Diamond Bar Blvd Ste 102103
Diamond Bar, CA 91765-1023
Phone
(443) 275-3605
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2023

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

Authorized official

Name
Mr. Amrit Pal Dhillon, PHYSICIAN ASSISTANTNPI 1134759582
Title
Director/Cheif Executive Officer
Phone
(909) 718-2455

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

750 N Diamond Bar Blvd Ste 102103
Diamond Bar, CA 91765-1023

Mailing address

1523 Avenida Entrada
San Dimas, CA 91773-4007
Phone (909) 718-2455

Other names 1

  • Express UrgentCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030001535 CA Part B Supplier - Clinic/Group Practice 2062868961 Receives reassigned benefits from 3 practitioners
Practice locations: Diamond Bar, CA

National Provider Directory

National Provider Directory

Locations

750 N Diamond Bar Blvd
Ste 102
Diamond Bar, CA 91765

750 N Diamond Bar Blvd
Ste 102103
Diamond Bar, CA 91765
Phone (443) 275-3605

Practitioners & affiliated clinicians

Practitioners 3

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": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696636800000",
    "number": "1710667118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 AVENIDA ENTRADA",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734007",
            "telephone_number": "909-718-2455",
            "fax_number": "909-718-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N DIAMOND BAR BLVD STE 102103",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651023",
            "telephone_number": "443-275-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS URGENTCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "AMRIT PAL",
        "authorized_official_title_or_position": "DIRECTOR/CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-718-2455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express UrgentCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; 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.