NPIMap

Organization Active NPI

Meridian Urgent Care & Occupational Health Center a Professional Corp

  • Urgent Care Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1922289099
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
20A6930 Issued in CA
Legal business name
MERIDIAN URGENT CARE & OCCUPATIONAL HEALTH CENTER A PROFESSIONAL CORP
Practice address
18522 Highway 18
Suite 102
Apple Valley, CA 92307
Phone
(760) 242-7707
NPI assigned
Nov 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Dan Vasile, D.ONPI 1841353869
Title
Owner/Operator
Phone
(760) 242-7707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 20A6930 CA Primary

Addresses

Primary practice location

18522 Highway 18
Suite 102
Apple Valley, CA 92307

Mailing address

18522 Highway 18
Suite 102
Apple Valley, CA 92307
Phone (760) 242-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000121 CA Part B Supplier - Clinic/Group Practice 0941363725 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Apple Valley, CA; Hesperia, CA; Barstow, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Meridian Urgent Care and Occupational Health Center a Professional Cor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

18522 US Highway 18
Apple Valley, CA 92307

705 E Virginia Way
Ste N
Barstow, CA 92311
Phone (760) 256-9243

Practitioners & affiliated clinicians

Practitioners 6

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": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1922289099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18522 HIGHWAY 18",
            "address_2": "SUITE 102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18522 HIGHWAY 18",
            "address_2": "SUITE 102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN URGENT CARE & OCCUPATIONAL HEALTH CENTER A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-17",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "VASILE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "760-242-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "20A6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.