Organization Active NPI

Unlimited Urgent Kcare Professional Corp

Doing business as San Miguel Urgent Care Anaheim

  • Urgent Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1962170167
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNLIMITED URGENT KCARE PROFESSIONAL CORP
Doing business as
San Miguel Urgent Care Anaheim
Practice address
980 S Euclid St
Anaheim, CA 92802-1523
Phone
(657) 254-0080
NPI assigned
Sep 1, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Mahfouz M Michael, MD
Title
Ceo
Phone
(323) 999-8267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

980 S Euclid St
Anaheim, CA 92802-1523

Mailing address

980 S Euclid St
Anaheim, CA 92802-1523
Phone (657) 254-0080

Other names 1

  • San Miguel Urgent Care Anaheim Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Unlimited Urgent Care Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1962170167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021523",
            "telephone_number": "657-254-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021523",
            "telephone_number": "657-254-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED URGENT KCARE PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAHFOUZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-999-8267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Miguel Urgent Care Anaheim",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Miguel Urgent Care Anaheim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.