PREMIUM URGENT CARE
NPI 1215455779
Clinic/Center - Urgent Care in Selma, CA

NPI Status: Active since September 05, 2017

Contact Information

3000 FLORAL AVE
SELMA, CA
ZIP 93662
Phone: (559) 797-4315
Fax: (559) 321-8730

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 05D2149124
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 05-23-2026

About PREMIUM URGENT CARE

This page provides the complete NPI Profile along with additional information for Premium Urgent Care, a provider established in Selma, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1215455779 assigned on September 2017. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Premium Urgent Care. The authorized official of this NPI record is Erick Green Md (Owner)

NPI
1215455779
Provider Legal Name
PREMIUM URGENT CARE, INC.
Other Organization Name
PREMIUM URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3000 FLORAL AVE SELMA, CA 93662
Location Phone
(559) 797-4315
Location Fax
(559) 321-8730
Mailing Address
7471 N FRESNO ST FRESNO, CA 93720
Mailing Phone
(559) 797-4315
Mailing Fax
(559) 321-8730
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2017
Last Update Date
05-02-2019
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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

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

ERICK GREEN MD

Authorized Official Title
OWNER
Authorized Official Phone
(559) 797-4315

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
05D2149124
Facility Type
Other - URGENT CARE
Certificate Effective Date
May 24, 2024
Certificate Expiration Date
May 23, 2026
Laboratory Director
ERICK J. GREEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premium Urgent Care 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.

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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 1215455779, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 1 → 2 4 → 8 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 8 + 5 + 1 + 0 + 7 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1215455779.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Allergy & Immunology (Allergy)
3000 FLORAL AVE
SELMA, CA 93662
Nurse Practitioner (Family)
3000 FLORAL AVE
SELMA, CA 93662

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215455779, enumerated as an "organization" on September 05, 2017.

The provider is located at 3000 FLORAL AVE SELMA, CA 93662 and the phone number is (559) 797-4315.

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