Active NPI
Immediate Care Medical Group, Inc.
- Primary Care Clinic/Center
- Visalia, CA
National Provider Identifier
1891940987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- IMMEDIATE CARE MEDICAL GROUP, INC.
- Practice address
- 231 E Caldwell Ave
Visalia, CA 93277-7605 - Phone
- (559) 622-9800
- Fax
- (559) 622-9871
- NPI assigned
- Nov 17, 2008
- 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
- Corina Lopez
- Title
- Office Manager
- Phone
- (559) 622-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
231 E Caldwell Ave
Visalia, CA 93277-7605
Mailing address
231 E Caldwell Ave
Visalia, CA 93277-7605
Phone (559) 622-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090519000198 | CA | Part B Supplier - Clinic/Group Practice | 0941359160 |
Receives reassigned benefits from 14 practitioners Practice locations: Visalia, CA |
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 |
|---|---|---|---|
| 05D1104749 | Immediate Care Medical Group, Inc | Certificate of waiver | Sep 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
231 E Caldwell Ave
Visalia, CA 93277
Phone (559) 622-9800
215 E Caldwell Ave
#A
Visalia, CA 93277
Phone (559) 409-2048
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1891940987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E CALDWELL AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932777605",
"telephone_number": "559-622-9800",
"fax_number": "559-622-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E CALDWELL AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932777605",
"telephone_number": "559-622-9800",
"fax_number": "559-622-9871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE CARE MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "CORINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "559-622-9800"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.