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PASADENA URGENT CARE INC NPI 1265854673


NPI Information

NPI: 1265854673
Provider Name: PASADENA URGENT CARE, INC

Doing Business As: ADVANCED URGENT CARE OF PASADENA

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2083292

Address:
797 S ARROYO PKWY
PASADENA, CA
ZIP 91105
Phone: (626) 304-0404
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PASADENA URGENT CARE, INC is an urgent care clinic center in Pasadena, CA. PASADENA URGENT CARE, INC NPI is 1265854673. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Urgent Care Of Pasadena.

The provider's business location address is:

797 S ARROYO PKWY
PASADENA, CA
ZIP 91105-234
Phone: (626) 304-0404
Fax: (626) 304-0405

The provider's authorized official is Marc Howard Shomer .
The authorized official title is Ceo and has the following contact phone number (626) 304-0404.

The CLIA number assigned to this NPI record is 05D2083292 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2014 and was last updated on 2/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareA95190CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB213364OTHERCALIFORNIAMEDICARE PTAN
2CB214392OTHERCALIFORNIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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