Express Lane Urgent Care Fremont, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EXPRESS LANE URGENT CARE FREMONT, INC

Practice address

1999 Mowry Ave
Suite L
Fremont, CA 94538-1738

Phone

(510) 791-6220

Fax

(510) 791-2378

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Paul Roger Anderson

Title

Physician Assistant

Phone

(209) 535-7500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1891075016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE",
            "address_2": "SUITE L",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-791-6220",
            "fax_number": "510-791-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE",
            "address_2": "SUITE L",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-791-6220",
            "fax_number": "510-791-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS LANE URGENT CARE FREMONT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "209-535-7500"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Fremont, CA
• Providers in Fremont, 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 Aug 18, 2011; 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.