NAGASAMUDRA S ASHOK MD INC NPI 1477647386

NPI Information

NPI: 1477647386
Provider Name: NAGASAMUDRA S ASHOK MD INC

Doing Business As: SAN JACINTO FAMILY URGENT CARE

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

Specialization: Urgent Care

Address:
229 W 7TH ST
SAN JACINTO, CA
ZIP 92583
Phone: (951) 487-2550
Get Directions

NAGASAMUDRA S ASHOK MD INC is an urgent care clinic center in San Jacinto, CA. NAGASAMUDRA S ASHOK MD INC NPI is 1477647386. The provider is registered as an organization entity type.
The provider Is Doing Business As San Jacinto Family Urgent Care.

The provider's business location address is:

229 W 7TH ST
SAN JACINTO, CA
ZIP 92583-662
Phone: (951) 487-2550
Fax: (951) 487-2552

The provider's authorized official is Nagasamudra S Ashok .
The authorized official title is President and has the following contact phone number (951) 487-2550.

The CLIA number assigned to this NPI record is 05D0916779 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/2/2010.

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
1	261QU0200X	Clinic/Center	Urgent Care	A41589	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A415890	MEDICAID	CALIFORNIA
2	A29414	MEDICARE UPIN	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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