PRESTIGE URGENT CARE LLC NPI 1295130821

NPI Information

  • NPI: 1295130821
  • Provider Name: PRESTIGE URGENT CARE, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 05D2071471
  • Address: 3689 EUREKA WAY
    REDDING, CA
    ZIP 96001
  • Phone: (530) 244-4577

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NPI Details

PRESTIGE URGENT CARE, LLC is a primary care clinic center in Redding, CA. PRESTIGE URGENT CARE, LLC NPI is 1295130821. The provider is registered as an organization entity type.

The provider's business location address is:

3689 EUREKA WAY
REDDING, CA
ZIP 96001-177
Phone: (530) 244-4577
Fax: (530) 244-4576

The provider's authorized official is Jonathan Osborne .
The authorized official title is President and has the following contact phone number (530) 244-4577.

The CLIA number assigned to this NPI record is 05D2071471 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2014 and was last updated on 7/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care20A11216CALIFORNIAYes
2261QP2300XClinic/CenterPrimary Care20A7894CALIFORNIANo
3363AM0700XPhysician AssistantMedical13754CALIFORNIANo
4363LP2300XNurse PractitionerPrimary Care17414CALIFORNIANo

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: 3/30/2025

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