Active NPI
Central Avenue Urgent Care Center
- Urgent Care Clinic/Center
- Montclair, CA
National Provider Identifier
1962428060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CENTRAL AVENUE URGENT CARE CENTER
- Practice address
- 8891 Central Ave
Montclair, CA 91763-1618 - Phone
- (909) 865-9977
- Fax
- (909) 624-0560
- NPI assigned
- Jul 14, 2006
- 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
- Karen Levin-Bohlka
- Title
- Director of Operations
- Phone
- (909) 865-9829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | CA | Primary |
Addresses
Primary practice location
8891 Central Ave
Montclair, CA 91763-1618
Mailing address
8891 Central Ave
Montclair, CA 91763-1618
Phone (909) 865-9977
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Alameda, CA
- NPI 1811910680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962428060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8891 CENTRAL AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631618",
"telephone_number": "909-865-9977",
"fax_number": "909-624-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8891 CENTRAL AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631618",
"telephone_number": "909-865-9977",
"fax_number": "909-624-0560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL AVENUE URGENT CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVIN-BOHLKA",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "909-865-9829"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.