ADVANCED MEDICAL AND URGENT CARE CENTER
NPI 1922339092
Clinic/Center - Urgent Care in Upland, CA
NPI Status: Active since January 28, 2010
Contact Information
974 W FOOTHILL BLVD
UPLAND, CA
ZIP 91786
Phone: (909) 981-2273
Fax: (909) 985-2329
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 05D2022051
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-24-2027
About ADVANCED MEDICAL AND URGENT CARE CENTER
This page provides the complete NPI Profile along with additional information for Advanced Medical And Urgent Care Center, a provider established in Upland, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1922339092 assigned on January 2010. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Morris Kokhab M.d. (Director)
- NPI
- 1922339092
- Provider Name
- ADVANCED MEDICAL AND URGENT CARE CENTER
- Entity Type
- Organization
- Location Address
- 974 W FOOTHILL BLVD UPLAND, CA 91786
- Location Phone
- (909) 981-2273
- Location Fax
- (909) 985-2329
- Mailing Address
- 974 W FOOTHILL BLVD UPLAND, CA 91786
- Mailing Phone
- (909) 981-2273
- Mailing Fax
- (909) 985-2329
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-28-2010
- Last Update Date
- 01-29-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | A75850 (CA) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2022051
- Facility Type
- Physician Office
- Certificate Effective Date
- March 25, 2025
- Certificate Expiration Date
- March 24, 2027
- Laboratory Director
- MORRIS KOKHAB
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advanced Medical And Urgent Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 2 | 2 | 3 | 3 | 9 | 0 | 9 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 4 | 2 | 6 | 3 | 18 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 4 + 2 + 6 + 3 + 1 + 8 + 0 + 1 + 8 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1922339092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1245248681 | MORRIS KOKHAB M.D. Individual | Internal Medicine (Rheumatology) | 974 W FOOTHILL BLVD UPLAND, CA 91786 (909) 932-1122 |
1821271420 | MORRIS KOKHAB, M.D., A MEDICAL CORPORATION Organization | Clinic/Center (Medical Specialty) | 974 W FOOTHILL BLVD UPLAND, CA 91786 (909) 932-1122 |
1073687588 | NEHAL A. TAWANSY M.D. Individual | Family Medicine | 974 W FOOTHILL BLVD UPLAND, CA 91786 (909) 981-2273 |
1528045358 | DR. LOUIS MAXIMILIAN DIBERNARDO MD Individual | Family Medicine | 974 W FOOTHILL BLVD UPLAND, CA 91786 (909) 981-2273 |
1124654454 | JENNIFER LYNN PRINA FNP-C Individual | Nurse Practitioner (Family) | 974 W FOOTHILL BLVD UPLAND, CA 91786 (909) 981-2273 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922339092, enumerated in the NPI registry as an "organization" on January 28, 2010
The provider is located at 974 W Foothill Blvd Upland, Ca 91786 and the phone number is (909) 981-2273
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 05D2022051 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 28, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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