Organization Active NPI

Crystal Urgent Care

  • Urgent Care Clinic/Center
  • La Habra, CA
National Provider Identifier
1992450779
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Feb 19, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.