OC URGENTCARE MEDICAL GROUP INCORPORATED
NPI 1083940597
Clinic/Center - Urgent Care in Anaheim, CA

NPI Status: Active since October 19, 2009

Contact Information

631 S BROOKHURST ST STE 101
ANAHEIM, CA
ZIP 92804
Phone: (714) 991-5700
Fax: (714) 991-5800

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 05D2074968
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-18-2028

About OC URGENTCARE MEDICAL GROUP INCORPORATED

This page provides the complete NPI Profile along with additional information for Oc Urgentcare Medical Group Incorporated, a provider established in Anaheim, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1083940597 assigned on October 2009. The practitioner's primary taxonomy code is 261QU0200X with license number BUS2009-03901 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Moustafa Othman (Cfo)

NPI
1083940597
Provider Name
OC URGENTCARE MEDICAL GROUP INCORPORATED
Entity Type
Organization
Location Address
631 S BROOKHURST ST STE 101 ANAHEIM, CA 92804
Location Phone
(714) 991-5700
Location Fax
(714) 991-5800
Mailing Address
PO BOX 2638 ANAHEIM, CA 92814
Mailing Phone
(714) 991-5700
Mailing Fax
(714) 991-5800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2009
Last Update Date
12-06-2023
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Location Map

Secondary Locations

  • 26781 Portola Pkwy Ste 4E
    Foothill Ranch, CA 92610
    (949) 297-3888
  • 8101 Newman Ave Ste A
    Huntington Beach, CA 92647
    (714) 698-8580
  • 801 S Brookhurst St
    Anaheim, CA 92804
    (714) 683-0644
  • 6502 Bolsa Ave Ste 105
    Huntington Beach, CA 92647
    (714) 373-2400
  • 23653 El Toro Rd Ste B
    Lake Forest, CA 92630
    (949) 317-0312
  • 2001 E 4th St Ste 104
    Santa Ana, CA 92705
    (657) 201-8018
  • 4720 E Chapman Ave
    Orange, CA 92869
    (714) 771-7600
  • 610 E Katella Ave
    Orange, CA 92867
    (714) 694-2001
  • 17672 Beach Blvd Ste Ab
    Huntington Beach, CA 92647
    (714) 698-8762
  • 26012 Marguerite Pkwy Ste H
    Mission Viejo, CA 92692
    (619) 732-4168
  • 1401 N Tustin Ave Ste 150
    Santa Ana, CA 92705
    (714) 978-4278
  • 7923 Garden Grove Blvd
    Garden Grove, CA 92841
    (714) 799-5858

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
License No.
BUS2009-03901
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MOUSTAFA OTHMAN

Authorized Official Title
CFO
Authorized Official Phone
(248) 508-6131

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1083940597MEDICAID (05)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
05D2074968
Facility Type
Physician Office
Certificate Effective Date
March 19, 2026
Certificate Expiration Date
March 18, 2028
Laboratory Director
YASSER H. SALEM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oc Urgentcare Medical Group Incorporated 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 OC URGENTCARE MEDICAL GROUP INCORPORATED

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083940597, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 8 + 4 + 0 + 5 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1083940597.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Internal Medicine
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant (Medical)
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant (Medical)
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant (Medical)
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant (Medical)
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant (Medical)
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant (Medical)
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804
Physician Assistant
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083940597, enumerated as an "organization" on October 19, 2009.

The provider is located at 631 S BROOKHURST ST STE 101 ANAHEIM, CA 92804 and the phone number is (714) 991-5700.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.