IDEAL URGENT CARE A MEDICAL CORPORATION
NPI 1245767102
Clinic/Center - Urgent Care in Fresno, CA
About Ideal Urgent Care A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDEAL URGENT CARE A MEDICAL CORPORATION (NPI 1245767102) is a healthcare organization registered as an urgent care in Fresno, California and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Camille Munganga, Vice President, 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)
Ideal Urgent Care A Medical Corporation 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 Ideal Urgent Care A Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D2134465
Ideal Urgent Care · Fresno, CAFrequently 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 Ideal Urgent Care A Medical Corporation's NPI number?
The NPI number for Ideal Urgent Care A Medical Corporation is 1245767102. It was assigned to this organization in the NPPES registry on May 22, 2017.
Where is Ideal Urgent Care A Medical Corporation located?
Ideal Urgent Care A Medical Corporation is located at 4182 N 1st St Ste 105, Fresno, CA 93726. The listed phone number is (559) 224-3300.
What is Ideal Urgent Care A Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Ideal Urgent Care A Medical Corporation enrolled in Medicare?
Yes. Ideal Urgent Care A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ideal Urgent Care A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ideal Urgent Care A Medical Corporation. 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 Ideal Urgent Care A Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2134465) is associated with this NPI, valid through August 2, 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 Ideal Urgent Care A Medical Corporation was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ideal Urgent Care A Medical Corporation · NPI 1245767102
Urgent Care organization in Fresno, California. Organization record, active in the CMS NPPES registry since May 22, 2017.
## Identity
- **NPI:** 1245767102 (Entity type: Organization)
- **Enumerated:** May 22, 2017
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Camille Munganga, VICE PRESIDENT
## Practice location
- **Address:** 4182 N 1ST ST STE 105, Fresno, CA 93726-4300
- **Phone:** (559) 224-3300 · **Fax:** (559) 224-3306
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245767102) · Data from the CMS NPPES public registry.