NELLIE GAIL URGENT CARE MEDICAL CORP
NPI 1073909859
Clinic/Center - Urgent Care in Laguna Hills, CA
About Nellie Gail Urgent Care Medical Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NELLIE GAIL URGENT CARE MEDICAL CORP (NPI 1073909859) is a healthcare organization registered as an urgent care in Laguna Hills, California and active in the NPI registry since April 2015. The organization holds 2 active CLIA laboratory certificates and lists Jack Bailey Vu, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 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)
Nellie Gail Urgent Care Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Nellie Gail Urgent Care Medical Corp, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: 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 2
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 05D2170908
Nellie Gail Urgent Care · Orange, CACertificate of Waiver 05D2096172
Nellie Gail Urgent Care · Aliso Viejo, 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 Nellie Gail Urgent Care Medical Corp's NPI number?
The NPI number for Nellie Gail Urgent Care Medical Corp is 1073909859. It was assigned to this organization in the NPPES registry on April 8, 2015.
Where is Nellie Gail Urgent Care Medical Corp located?
Nellie Gail Urgent Care Medical Corp is located at 27001 Moulton Pkwy Suite A-102, Laguna Hills, CA 92656. The listed phone number is (949) 600-1907.
What is Nellie Gail Urgent Care Medical Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Nellie Gail Urgent Care Medical Corp enrolled in Medicare?
Yes. Nellie Gail Urgent Care Medical Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nellie Gail Urgent Care Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Nellie Gail Urgent Care Medical Corp, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Nellie Gail Urgent Care Medical Corp hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Nellie Gail Urgent Care Medical Corp was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Nellie Gail Urgent Care Medical Corp · NPI 1073909859
Urgent Care organization in Laguna Hills, California. Organization record, active in the CMS NPPES registry since April 8, 2015.
## Identity
- **NPI:** 1073909859 (Entity type: Organization)
- **Enumerated:** April 8, 2015
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Jack Vu, PHYSICIAN
## Practice location
- **Address:** 27001 MOULTON PKWY, SUITE A-102, Laguna Hills, CA 92656-3626
- **Phone:** (949) 600-1907 · **Fax:** (949) 600-1912
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2015
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073909859) · Data from the CMS NPPES public registry.