NPIMap

Organization Active NPI

Marque Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Riverside, CA
National Provider Identifier
1902431901
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MARQUE MEDICAL CLINIC, INC.
Practice address
10391 Magnolia Ave
Riverside, CA 92505-1809
Phone
(949) 760-9222
Fax
(949) 579-2906
NPI assigned
Mar 10, 2020
Organization subpart
Yes
Parent organization
MARQUE MEDICAL CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Theresa Nguyen
Title
Delegated Official
Phone
(949) 690-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

10391 Magnolia Ave
Riverside, CA 92505-1809

Mailing address

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (949) 760-9222

Other names 1

  • Marque Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marque Medical Clinic Inc14 organizations share this tax ID, including this one
Part of
Marque Medical Clinic Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1902431901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606505",
            "telephone_number": "949-760-9222",
            "fax_number": "949-579-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10391 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051809",
            "telephone_number": "949-760-9222",
            "fax_number": "949-579-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUE MEDICAL CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARQUE MEDICAL CLINIC, INC.",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "949-690-3337"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marque Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.