Active NPI
Crystal Urgent Care
- Urgent Care Clinic/Center
- La Habra, CA
National Provider Identifier
1992450779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CRYSTAL URGENT CARE
- Practice address
- 860 E la Habra Blvd Ste 110
La Habra, CA 90631-0817 - Phone
- (224) 409-8497
- Fax
- (760) 330-2114
- NPI assigned
- Feb 19, 2022
- 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
- Dr. Joseph Dinglasan, MD
- Title
- Medical Director
- Phone
- (224) 409-8497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
860 E la Habra Blvd Ste 110
La Habra, CA 90631-0817
Mailing address
860 E la Habra Blvd Ste 110
La Habra, CA 90631-0817
Phone (224) 409-8497
Other names 1
- CRYSTAL U.C. CLINIC
National Provider Directory
National Provider DirectoryLocations
860 E La Habra Blvd
Ste 110
La Habra, CA 90631
Phone (224) 409-8497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645228800000",
"number": "1992450779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E LA HABRA BLVD STE 110",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906310817",
"telephone_number": "224-409-8497",
"fax_number": "760-330-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E LA HABRA BLVD STE 110",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906310817",
"telephone_number": "224-409-8497",
"fax_number": "760-330-2114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-19",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A",
"authorized_official_last_name": "DINGLASAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "224-409-8497",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CRYSTAL U.C. CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.