PRESTIGE MEDICAL CLINIC AND URGENT CARE INC
NPI 1396683801
Clinic/Center - Urgent Care in Rancho Cucamonga, CA

Active since March 24, 2026
12709 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91739(909) 377-1800(909) 377-0200 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2026, Mar 24, 2026 (2 updates tracked since 2026).

About Prestige Medical Clinic And Urgent Care Inc NPPES

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

PRESTIGE MEDICAL CLINIC AND URGENT CARE INC (NPI 1396683801) is a healthcare organization registered as an urgent care in Rancho Cucamonga, California and active in the NPI registry since March 2026. The organization lists Emy Oduro-burton, President, as its authorized official.

NPPES Registry Identity

NPI1396683801
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePRESTIGE MEDICAL CLINIC AND URGENT CARE INC
Location Address12709 FOOTHILL BLVDRancho Cucamonga, CA 91739-9761
Mailing Address12709 Foothill BlvdRancho Cucamonga, CA 91739-9761 · (909) 377-1800 · Fax (909) 377-0200
Fax(909) 377-0200
Organization SubpartNo
Authorized OfficialEmy Oduro-burtonPresident · (909) 447-1800
Enumeration DateMarch 24, 2026
Last NPPES UpdateJuly 11, 20262 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1396683801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
12709 FOOTHILL BLVD, Rancho Cucamonga, CA 91739

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prestige Medical Clinic And 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 Prestige Medical Clinic And Urgent Care Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner8
Family Practice2

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1760035182
8112 MILLIKEN AVE STE 100
Rancho Cucamonga, CA 91730
(909) 466-6410
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1205225208
425 E FOOTHILL BLVD
Rialto, CA 92376
(909) 546-1050
✔ PECOS9.4 mi
Nurse Practitioner
NPI 1275400467
1984 INDIAN HILL BLVD
Pomona, CA 91767
(909) 447-2323
✔ PECOS11 mi
Nurse Practitioner
NPI 1205210531
1984 INDIAN HILL BLVD
Pomona, CA 91767
(909) 447-2323
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1588059281
1984 INDIAN HILL BLVD
Pomona, CA 91767
(909) 447-2323
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1902299191
4990 ARLINGTON AVE SUITE D
Riverside, CA 92504
(951) 785-9011
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1902789274
800 S MAIN ST
Corona, CA 92882
(951) 737-4343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1194517292
3401 S HARBOR BLVD
Santa Ana, CA 92704
(661) 333-8008
✔ PECOS36 mi
Family Practice
NPI 1740243104
1560 E CHEVY CHASE DR #245
Glendale, CA 91206
(818) 246-5900
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1538783873
8619 RESEDA BLVD STE 207
Northridge, CA 91324
(747) 300-2153
✔ PECOS✔ Accepts Medicare58 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prestige Medical Clinic And Urgent Care Inc's NPI number?

The NPI number for Prestige Medical Clinic And Urgent Care Inc is 1396683801. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Prestige Medical Clinic And Urgent Care Inc located?

Prestige Medical Clinic And Urgent Care Inc is located at 12709 Foothill Blvd, Rancho Cucamonga, CA 91739. The listed phone number is (909) 377-1800.

What is Prestige Medical Clinic And Urgent Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Prestige Medical Clinic And Urgent Care Inc enrolled in Medicare?

Yes. Prestige Medical Clinic And Urgent Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prestige Medical Clinic And Urgent Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Prestige Medical Clinic And 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 (8) and Family Practice (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prestige Medical Clinic And Urgent Care Inc was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.