PREMIUM URGENT CARE, INC.
NPI 1619747623
Clinic/Center - Urgent Care in Fresno, CA
About Premium Urgent Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIUM URGENT CARE, INC. (NPI 1619747623) is a healthcare organization registered as an urgent care in Fresno, California and active in the NPI registry since January 2024. The organization lists Erick Joseph Green, Owner, 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)
Premium Urgent Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare 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
Clinicians, nearest first (10)
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 Premium Urgent Care, Inc.'s NPI number?
The NPI number for Premium Urgent Care, Inc. is 1619747623. It was assigned to this organization in the NPPES registry on January 2, 2024.
Where is Premium Urgent Care, Inc. located?
Premium Urgent Care, Inc. is located at 1069 E Champlain Dr, Fresno, CA 93720. The listed phone number is (559) 797-4315.
What is Premium Urgent Care, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
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.
When was this NPI record last updated?
The NPPES record for Premium Urgent Care, Inc. was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Premium Urgent Care, Inc. · NPI 1619747623
Urgent Care organization in Fresno, California. Organization record, active in the CMS NPPES registry since January 2, 2024.
## Identity
- **NPI:** 1619747623 (Entity type: Organization)
- **Enumerated:** January 2, 2024
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** Yes (part of Premium Urgent Care, Inc.)
- **Authorized official:** Erick Green, OWNER
## Practice location
- **Address:** 1069 E CHAMPLAIN DR, Fresno, CA 93720-4223
- **Phone:** (559) 797-4315 · **Fax:** (559) 321-8730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Allergy/Immunology (1), Emergency Medicine (1); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619747623) · Data from the CMS NPPES public registry.