PREMIUM URGENT CARE INC
NPI 1265130025
Clinical Medical Laboratory in Fresno, CA

Active since February 21, 2023CLIA 05D2062033 · Microscopy
1477 E SHAW AVE STE 150, FRESNO, CA 93710(559) 477-4495(559) 321-8730 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Feb 21, 2023 (2 updates tracked since 2023).

About Premium Urgent Care Inc NPPES

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

PREMIUM URGENT CARE INC (NPI 1265130025) is a healthcare organization registered as a clinical medical laboratory in Fresno, California and active in the NPI registry since February 2023. The organization holds a CLIA Microscopy certificate valid through July 8, 2027 and lists Erick Joseph Green, President, as its authorized official.

NPPES Registry Identity

NPI1265130025
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePREMIUM URGENT CARE INC
Location Address1477 E SHAW AVE STE 150Fresno, CA 93710-8023
Mailing Address2021 Herndon Ave Ste 101Clovis, CA 93611-6316 · (559) 387-5230 · Fax (559) 321-8730
Fax(559) 321-8730
Organization SubpartYes
Authorized OfficialErick Joseph GreenPresident · (504) 236-1486
Enumeration DateFebruary 21, 2023
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1265130025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1477 E SHAW AVE STE 150, Fresno, CA 93710

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premium Urgent Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Premium Urgent Care Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner7
Allergy/Immunology1
Emergency Medicine1
General Practice1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1487650677
7471 N FRESNO ST
Fresno, CA 93720
(559) 436-4500
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1124978614
2021 HERNDON AVE STE 101
Clovis, CA 93611
(559) 387-5230
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1972998649
2021 HERNDON AVE STE 101
Clovis, CA 93611
(559) 797-4315
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1285361014
2021 HERNDON AVE STE 101
Clovis, CA 93611
(559) 797-4315
✔ PECOS✔ Accepts Medicare5.0 mi
General Practice
NPI 1821371022
2021 HERNDON AVE # 101
Clovis, CA 93611
(559) 797-4315
✔ PECOS5.0 mi
Emergency Medicine
NPI 1417968173
2021 HERNDON AVE # 101
Clovis, CA 93611
(559) 981-5566
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1689305070
2021 HERNDON AVE STE 101
Clovis, CA 93611
(559) 797-4315
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1215505748
3000 FLORAL AVE
Selma, CA 93662
(559) 318-9240
✔ PECOS18 mi
Nurse Practitioner
NPI 1639648439
231 E CALDWELL AVE
Visalia, CA 93277
(559) 622-9800
✔ PECOS✔ Accepts Medicare44 mi
Allergy/Immunology
NPI 1053613711
725 WELCH RD
Palo Alto, CA 94304
(650) 497-8000
✔ PECOS✔ Accepts Medicare140 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2062033

Premium Urgent Care · Clovis, CA
Active · expires Jul 8, 2027
CLIA Number05D2062033
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDr. Erick J. Green
Laboratory Phone(559) 387-5230
Laboratory LocationPremium Urgent Care2021 Herndon Ave Ste 101, Clovis, CA 93611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Premium Urgent Care Inc's NPI number?

The NPI number for Premium Urgent Care Inc is 1265130025. It was assigned to this organization in the NPPES registry on February 21, 2023.

Where is Premium Urgent Care Inc located?

Premium Urgent Care Inc is located at 1477 E Shaw Ave Ste 150, Fresno, CA 93710. The listed phone number is (559) 477-4495.

What is Premium Urgent Care Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Premium Urgent Care Inc enrolled in Medicare?

Yes. Premium Urgent Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premium Urgent Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Premium Urgent Care Inc. 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. The largest specialties are Nurse Practitioner (7), Allergy/Immunology (1) and Emergency Medicine (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premium Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2062033) is associated with this NPI, valid through July 8, 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 Premium Urgent Care Inc was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.