Active NPI
Optima Urgent Care Inc
- Urgent Care Clinic/Center
- Bonsall, CA
National Provider Identifier
1912590803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2021
- 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
- Sara Keshavarzi, FNP
- Title
- Ceo
- Phone
- (760) 691-9392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.