Organization Active NPI

Patterson Urgent Care

  • Urgent Care Clinic/Center
  • Patterson, CA
National Provider Identifier
1780814343
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
PA 15880 Issued in CA
Legal business name
PATTERSON URGENT CARE
Practice address
47 S del Puerto Ave
Patterson, CA 95363-2517
Phone
(209) 892-3500
Fax
(209) 892-3577
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Jon Washburn
Title
Owner
Phone
(209) 204-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X PA 15880 CA Primary

Addresses

Primary practice location

47 S del Puerto Ave
Patterson, CA 95363-2517

Mailing address

PO Box 636
Patterson, CA 95363-0636

National Provider Directory

National Provider Directory

Locations

47 S Del Puerto Ave
Patterson, CA 95363
Phone (209) 892-3500

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1780814343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953630636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 S DEL PUERTO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632517",
            "telephone_number": "209-892-3500",
            "fax_number": "209-892-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-204-2910"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "PA 15880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.