Classic Urgent Care a Medical Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CLASSIC URGENT CARE A MEDICAL CORPORATION

Practice address

622 Academy Ave
Sanger, CA 93657-2423

Phone

(559) 399-8940

Fax

(559) 399-8657

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Imuagbonrie Idoni, PANPI 1841296936

Title

Ceo

Phone

(559) 399-8940

Specialties & licenses 1

Addresses

Other names 1

• Classic Urgent Care Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph I Idoni, MPH, PA

  • Medical Physician Assistant
  • Sanger, CA
  • NPI 1841296936
  Medicare reassignment Care Compare group Authorized official
• Raynado Garcia, M.D.

  • Family Medicine Physician
  • Farmersville, CA
  • NPI 1942235874
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1760993182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 ACADEMY AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572423",
            "telephone_number": "559-399-8940",
            "fax_number": "559-399-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 ACADEMY AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572423",
            "telephone_number": "559-399-8940",
            "fax_number": "559-399-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC URGENT CARE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "IDONI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "IMUAGBONRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-399-8940",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna Lee Chastain, O.D.
• Maria Esmeralda Chavez
• Paul Sylvan Cheney, D.D.S.
• Ishwaree Rajiv Chogle, M.D.
• City of Sanger Fire Department (Sanger Fire Department)
• Herbert Lance Crooks, D.D.S.
• Daniel Cuellar
• Tram Ngoc Dang, RPH
• David Trieu Nguyen (El Portal Pharmacy)
• Ignacio N De Alba Ruiz, PTA

• Urgent Care Clinic/Center in Sanger, CA
• Providers in Sanger, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.