Organization Active NPI

Optima Urgent Care Inc

  • Urgent Care Clinic/Center
  • Bonsall, CA
National Provider Identifier
1912590803
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OPTIMA URGENT CARE INC
Practice address
5256 S Mission Rd Ste 1201
Bonsall, CA 92003-3624
Phone
(760) 502-0911
Fax
(760) 502-0912
NPI assigned
Feb 11, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Sara Keshavarzi, FNP
Title
Ceo
Phone
(760) 691-9392

Specialties & licenses 1

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

Addresses

Primary practice location

5256 S Mission Rd Ste 1201
Bonsall, CA 92003-3624

Mailing address

5256 S Mission Rd Ste 1201
Bonsall, CA 92003-3624
Phone (760) 502-0911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1912590803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 S MISSION RD STE 1201",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920033624",
            "telephone_number": "760-502-0911",
            "fax_number": "760-502-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5256 S MISSION RD STE 1201",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920033624",
            "telephone_number": "760-502-0911",
            "fax_number": "760-502-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "KESHAVARZI",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-691-9392",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonsall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.