Active NPI
Bear Valley Urgent Care Inc
- Urgent Care Clinic/Center
- Victorville, CA
National Provider Identifier
1831565522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BEAR VALLEY URGENT CARE INC
- Practice address
- 12186 Hesperia Rd
Victorville, CA 92395-5822 - Phone
- (760) 381-8848
- Fax
- (760) 381-8810
- NPI assigned
- Aug 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Benito Alvarez De la Llana, M.D.
- Title
- Medical Director
- Phone
- (561) 927-5240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
12186 Hesperia Rd
Victorville, CA 92395-5822
Mailing address
12186 Hesperia Rd
Victorville, CA 92395-5822
Phone (760) 381-8848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2109012 | Bear Valley Urgent Care | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/17297/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Ontario, CA
- NPI 1326244062
-
- Physician Assistant
- Victorville, CA
- NPI 1932152683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677196800000",
"number": "1831565522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12186 HESPERIA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955822",
"telephone_number": "760-381-8848",
"fax_number": "760-381-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12186 HESPERIA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955822",
"telephone_number": "760-381-8848",
"fax_number": "760-381-8810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAR VALLEY URGENT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-17",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A",
"authorized_official_last_name": "DE LA LLANA",
"authorized_official_first_name": "JOSE BENITO",
"authorized_official_middle_name": "ALVAREZ",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "561-927-5240",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.