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FAMILY MEDICAL CLINIC & URGENT CARE INC
NPI 1114240371
Clinic/Center in Phelan, CA

Active since March 02, 2010CLIA 05D0910543 · Waiver
9723 SIERRA VISTA RD, UNIT A, PHELAN, CA 92371(760) 868-1990(760) 868-1201 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Medical Clinic & Urgent Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICAL CLINIC & URGENT CARE INC (NPI 1114240371) is a healthcare organization registered as a clinic/center in Phelan, California and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Vivek Singh Gill, Owner, as its authorized official.

NPPES Registry Identity

NPI1114240371
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFAMILY MEDICAL CLINIC & URGENT CARE INC
Location Address9723 SIERRA VISTA RD, UNIT APhelan, CA 92371-8271
Mailing Address9723 Sierra Vista Rd, Unit APhelan, CA 92371-8271 · (760) 868-1990 · Fax (760) 868-1201
Phone(760) 868-1990
Fax(760) 868-1201
Organization SubpartNo
Authorized OfficialVivek Singh GillOwner · (760) 868-1990
Enumeration DateMarch 2, 2010
Last NPPES UpdateDecember 26, 2023
✔ NPI 1114240371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A61054
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9723 SIERRA VISTA RD, Phelan, CA 92371
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medical Clinic & Urgent Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Medical Clinic & Urgent Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vivek Gill, MD
Internal Medicine
NPI 1992712616
9723 SIERRA VISTA RD UNIT A
Phelan, CA 92371
(760) 868-1990
✔ PECOS✔ Accepts MedicareSame address

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

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 05D0910543

Family Medical Clinic & Urgent Care, Inc · Phelan, CA
Active · expires Jan 10, 2028
CLIA Number05D0910543
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorGill S. Vivek MD
Laboratory Phone(760) 868-1990
Laboratory LocationFamily Medical Clinic & Urgent Care, Inc9723 Sierra Vista Road Unit A, Phelan, CA 92371
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Family Medical Clinic & Urgent Care Inc's NPI number?

The NPI number for Family Medical Clinic & Urgent Care Inc is 1114240371. It was assigned to this organization in the NPPES registry on March 2, 2010.

Where is Family Medical Clinic & Urgent Care Inc located?

Family Medical Clinic & Urgent Care Inc is located at 9723 Sierra Vista Rd Unit A, Phelan, CA 92371. The listed phone number is (760) 868-1990.

What is Family Medical Clinic & Urgent Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Family Medical Clinic & Urgent Care Inc enrolled in Medicare?

Yes. Family Medical Clinic & Urgent Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medical Clinic & Urgent Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Family Medical Clinic & Urgent Care Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medical Clinic & Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0910543) is associated with this NPI, valid through January 10, 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 Family Medical Clinic & Urgent Care Inc was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.