YUCAIPA URGENT CARE CENTER
NPI 1043597743
Clinic/Center - Urgent Care in Yucaipa, CA
About Yucaipa Urgent Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YUCAIPA URGENT CARE CENTER (NPI 1043597743) is a healthcare organization registered as an urgent care in Yucaipa, California and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Jennifer Brunk, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yucaipa Urgent Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Yucaipa Urgent Care Center, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2039963
Yucaipa Urgent Care Center · Yucaipa, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern California Emergency Medicine's NPI number?
The NPI number for Southern California Emergency Medicine is 1043597743. It was assigned to this organization in the NPPES registry on November 8, 2011. The provider is doing business as Yucaipa Urgent Care Center.
Where is Southern California Emergency Medicine located?
Southern California Emergency Medicine is located at 33494 Oak Glen Rd, Yucaipa, CA 92399. The listed phone number is (909) 797-8900.
What is Southern California Emergency Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Southern California Emergency Medicine enrolled in Medicare?
Yes. Southern California Emergency Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern California Emergency Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern California Emergency Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Emergency Medicine (3) and Family Practice (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern California Emergency Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2039963) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern California Emergency Medicine was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Yucaipa Urgent Care Center · NPI 1043597743
Urgent Care organization in Yucaipa, California. Organization record, active in the CMS NPPES registry since November 8, 2011.
## Identity
- **NPI:** 1043597743 (Entity type: Organization)
- **Enumerated:** November 8, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Southern California Emergency Medicine
- **Organization subpart:** No
- **Authorized official:** Jennifer Brunk, CREDENTIALING MANAGER
## Practice location
- **Address:** 33494 OAK GLEN RD, Yucaipa, CA 92399-2057
- **Phone:** (909) 797-8900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Emergency Medicine (3), Family Practice (3); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1043597743/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2013
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1043597743) · Data from the CMS NPPES public registry.