NPIMap

Organization Active NPI

Oc Urgentcare Medical Group, Inc

  • Urgent Care Clinic/Center
  • Lake Forest, CA
National Provider Identifier
1730894148
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OC URGENTCARE MEDICAL GROUP, INC
Practice address
23653 El Toro Rd Ste B
Lake Forest, CA 92630-8614
Phone
(949) 317-0312
NPI assigned
Jan 19, 2023
Organization subpart
Yes
Parent organization
OC URGENTCARE MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Nahla H. Salem
Title
Medical Director
Phone
(248) 508-6131

Specialties & licenses 1

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

Addresses

Primary practice location

23653 El Toro Rd Ste B
Lake Forest, CA 92630-8614

Mailing address

PO Box 2638
Anaheim, CA 92814-0638

Other identifiers 1

IdentifierTypeStateIssuer
DB088AOtherCAMEDICARE PTAN

Other names 1

  • OC UrgentCare Lake Forest Other name

National Provider Directory

National Provider Directory
Tax ID family
Oc Urgentcare Med Group Inc7 organizations share this tax ID, including this one
Part of
Oc Urgentcare Med Group Inc

Other organizations with this tax ID 6

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": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1730894148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2638",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928140638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23653 EL TORO RD STE B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308614",
            "telephone_number": "949-317-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC URGENTCARE MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OC URGENTCARE MEDICAL GROUP, INC",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "NAHLA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-508-6131"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DB088A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC UrgentCare Lake Forest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.