Organization Active NPI

Prestige Medical Clinic and Urgent Care Inc

  • Urgent Care Clinic/Center
  • Pomona, CA
National Provider Identifier
1801444708
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRESTIGE MEDICAL CLINIC AND URGENT CARE INC
Practice address
1984 Indian Hill Blvd
Pomona, CA 91767-3620
Phone
(909) 447-2323
NPI assigned
Sep 3, 2019
Last updated
Jul 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Dr. Emy Oduro-Burton, CEONPI 1205210531
Title
Ceo
Phone
(909) 447-2323

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1984 Indian Hill Blvd
Pomona, CA 91767-3620

Mailing address

1984 Indian Hill Blvd
Pomona, CA 91767-3620
Phone (909) 447-2323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226000750 CA Part B Supplier - Clinic/Group Practice 0840624953 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Pomona, CA; Rancho Cucamonga, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1801444708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673620",
            "telephone_number": "909-447-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673620",
            "telephone_number": "909-447-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL CLINIC AND URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "ODURO-BURTON",
        "authorized_official_first_name": "EMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-447-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.