NAGASAMUDRA S ASHOK MD INC NPI 1851709406

NPI Information

NPI: 1851709406
Provider Name: NAGASAMUDRA S ASHOK MD INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1520 N MOUNTAIN AVE BLDG F
SUITE 128
ONTARIO, CA
ZIP 91762
Phone: (909) 949-9299
Get Directions

NAGASAMUDRA S ASHOK MD INC is an urgent care clinic center in Ontario, CA. NAGASAMUDRA S ASHOK MD INC NPI is 1851709406. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 N MOUNTAIN AVE BLDG F
SUITE 128
ONTARIO, CA
ZIP 91762-128
Phone: (909) 949-9299
Fax: (909) 949-9029

The provider's authorized official is Nagasamudra S. Ashok .
The authorized official title is President and has the following contact phone number (818) 515-8804.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 10/27/2015.

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	207P00000X	Emergency Medicine			CALIFORNIA	No
2	261QU0200X	Clinic/Center	Urgent Care		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	WA41589	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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