NPIMap

Organization Active NPI

Advance Urgent Medical Group Inc

  • Health Maintenance Organization
  • Santa Ana, CA
National Provider Identifier
1881847424
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
A76958 Issued in CA
Legal business name
ADVANCE URGENT MEDICAL GROUP INC
Practice address
1401 W 1St St
Ste. 101
Santa Ana, CA 92703-3757
Phone
(714) 542-9700
NPI assigned
Oct 28, 2008
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dara Saghafi, M.DNPI 1144320672
Title
President
Phone
(714) 542-9700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X A76958 CA Primary

Addresses

Primary practice location

1401 W 1St St
Ste. 101
Santa Ana, CA 92703-3757

Mailing address

1401 W 1St St
Ste. 101
Santa Ana, CA 92703-3757
Phone (714) 542-9700

Other identifiers 4

IdentifierTypeStateIssuer
1144320672OtherCAGROUP RENDERING PROVIDER
1184821464OtherCAGROUP RENDERING PROVIDER L NUMBER
1942417365OtherCAGROUP RENDERING PROVIDER NUMBER
1487834016OtherCAGROUP RENDERING PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000544 CA Part B Supplier - Clinic/Group Practice 9335325901 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1093623Advance Urgent Medical Group Inc1401 W First St Ste # 101, Santa Ana, CA 92703Certificate of waiverDec 23, 2026

National Provider Directory

National Provider Directory

Locations

1401 W 1st St
Ste 101
Santa Ana, CA 92703
Phone (714) 542-9700

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1881847424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W 1ST ST",
            "address_2": "STE. 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033757",
            "telephone_number": "714-542-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 1ST ST",
            "address_2": "STE. 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033757",
            "telephone_number": "714-542-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE URGENT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "SAGHAFI",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-542-9700",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A76958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RENDERING PROVIDER",
            "identifier": "1144320672",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RENDERING PROVIDER L NUMBER",
            "identifier": "1184821464",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RENDERING PROVIDER NUMBER",
            "identifier": "1942417365",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RENDERING PROVIDER NUMBER",
            "identifier": "1487834016",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.