IDEAL URGENT CARE A MEDICAL CORPORATION
NPI 1245767102
Clinic/Center - Urgent Care in Fresno, CA

Q: 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.

Active since May 22, 2017CLIA 05D2134465 · Waiver

4182 N 1ST ST STE 105, FRESNO, CA 93726(559) 224-3300(559) 224-3306 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, May 22, 2017 (2 updates tracked since 2017).

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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

NPI1245767102

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NameIDEAL URGENT CARE A MEDICAL CORPORATION

Location Address4182 N 1ST ST STE 105Fresno, CA 93726-4300

Mailing Address4182 N 1st St Ste 105Fresno, CA 93726-4300 · (559) 224-3300 · Fax (559) 224-3306

Phone(559) 224-3300

Fax(559) 224-3306

Organization SubpartNo

Authorized OfficialCamille MungangaVice President · (559) 224-3300

Enumeration DateMay 22, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1245767102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

4182 N 1ST ST STE 105, Fresno, CA 93726

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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, CA

Active · expires Aug 2, 2027

CLIA Number05D2134465

Laboratory TypePhysician Office

Certificate Effective DateAugust 3, 2025

Certificate Expiration DateAugust 2, 2027

Laboratory DirectorHipolito G. Mariano MD

Laboratory Phone(559) 224-3300

Laboratory LocationIdeal Urgent Care4182 N First St, Ste 105, Fresno, CA 93726

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

NEIGHBORHOOD WALK IN CLINIC

Family Medicine

4182 N 1ST ST STE 105
FRESNO, CA 93726

Fresno County (559) 224-3300

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 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.

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.