FASTRACKMED URGENT CARE INC
NPI 1215785589
Nurse Practitioner - Family in Freedom, CA

Active since May 10, 2024CLIA 05D2320205 · Waiver
108 GREEN VALLEY RD, FREEDOM, CA 95019(831) 259-1726(855) 855-4022 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fastrackmed Urgent Care Inc NPPES

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

FASTRACKMED URGENT CARE INC (NPI 1215785589) is a healthcare organization registered as a family in Freedom, California and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Lioudmila Tarbox, Owner, as its authorized official.

NPPES Registry Identity

NPI1215785589
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFASTRACKMED URGENT CARE INC
Location Address108 GREEN VALLEY RDFreedom, CA 95019-3110
Mailing Address108 Green Valley RdFreedom, CA 95019-3110 · (831) 259-1726 · Fax (855) 855-4022
Fax(855) 855-4022
Organization SubpartNo
Authorized OfficialLioudmila TarboxOwner · (831) 295-1726
Enumeration DateMay 10, 2024
NPPES CertifiedMay 10, 2024
NPI 1215785589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
108 GREEN VALLEY RD, Freedom, CA 95019

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2320205

Fastrakmed Urgent Care · Freedom, CA
Active · expires Mar 12, 2027
CLIA Number05D2320205
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorFelix Huerta
Laboratory Phone(831) 295-1726
Laboratory LocationFastrakmed Urgent Care108 Green Valley Rd, Freedom, CA 95019
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
108 GREEN VALLEY RD
FREEDOM, CA 95019
Family Medicine
108 GREEN VALLEY RD
FREEDOM, CA 95019
Internal Medicine
108 GREEN VALLEY RD
FREEDOM, CA 95019

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 Fastrackmed Urgent Care Inc's NPI number?

The NPI number for Fastrackmed Urgent Care Inc is 1215785589. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is Fastrackmed Urgent Care Inc located?

Fastrackmed Urgent Care Inc is located at 108 Green Valley Rd, Freedom, CA 95019. The listed phone number is (831) 259-1726.

What is Fastrackmed Urgent Care Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Fastrackmed Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2320205) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fastrackmed Urgent Care Inc was last updated on May 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.