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

Get Directions Reviews

  • 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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

A75850 (CA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MORRIS KOKHAB M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(310) 945-6070

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.

Reviews for ADVANCED MEDICAL AND URGENT CARE CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1922339092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29426318018
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 = 22

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
1821271420MORRIS 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 Medicine974 W FOOTHILL BLVD
UPLAND, CA 91786
(909) 981-2273
1528045358DR. LOUIS MAXIMILIAN DIBERNARDO MD
Individual
Family Medicine974 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.