EXECUTIVE URGENT CARE CENTERS INC
NPI 1124796362
Clinic/Center - Urgent Care in Indian Wells, CA
About Executive Urgent Care Centers Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXECUTIVE URGENT CARE CENTERS INC (NPI 1124796362) is a healthcare organization registered as an urgent care in Indian Wells, California and active in the NPI registry since September 2021. The organization lists Bohdan Olesnicky, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Executive Urgent Care Centers Inc 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 Executive Urgent Care Centers Inc, which bills Medicare for the services they deliver. Of these, 2 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.
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 Executive Urgent Care Centers Inc's NPI number?
The NPI number for Executive Urgent Care Centers Inc is 1124796362. It was assigned to this organization in the NPPES registry on September 2, 2021.
Where is Executive Urgent Care Centers Inc located?
Executive Urgent Care Centers Inc is located at 74785 Hwy 111, Suite 100, Indian Wells, CA 92210. The listed phone number is (760) 346-3939.
What is Executive Urgent Care Centers Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Executive Urgent Care Centers Inc enrolled in Medicare?
Yes. Executive Urgent Care Centers Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Executive Urgent Care Centers Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Executive Urgent Care Centers Inc, in Nurse Practitioner and Obstetrics/Gynecology. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Executive Urgent Care Centers Inc was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Executive Urgent Care Centers Inc · NPI 1124796362
Urgent Care organization in Indian Wells, California. Organization record, active in the CMS NPPES registry since September 2, 2021.
## Identity
- **NPI:** 1124796362 (Entity type: Organization)
- **Enumerated:** September 2, 2021
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Bohdan Olesnicky, CEO
## Practice location
- **Address:** 74785 HWY 111, SUITE 100, Indian Wells, CA 92210
- **Phone:** (760) 346-3939
## 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: Obstetrics/Gynecology (2), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124796362) · Data from the CMS NPPES public registry.