PALMDALE URGENT CARE INC
NPI 1699480038
Clinic/Center - Urgent Care in Palmdale, CA

Active since January 19, 2023CLIA 05D2284913 · Waiver
2270 E PALMDALE BLVD STE F, PALMDALE, CA 93550(661) 855-4044 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Palmdale Urgent Care Inc NPPES

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

PALMDALE URGENT CARE INC (NPI 1699480038) is a healthcare organization registered as an urgent care in Palmdale, California and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Richard Park, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1699480038
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePALMDALE URGENT CARE INC
Location Address2270 E PALMDALE BLVD STE FPalmdale, CA 93550-1334
Mailing Address2270 E Palmdale Blvd Ste FPalmdale, CA 93550-1334 · (661) 855-4044
Organization SubpartNo
Authorized OfficialRichard ParkOwner/president · (661) 855-4044
Enumeration DateJanuary 19, 2023
NPPES CertifiedJanuary 19, 2023
✔ NPI 1699480038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2270 E PALMDALE BLVD STE F, Palmdale, CA 93550

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Palmdale Urgent Care Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1073210514
2706 SENNA LN
Palmdale, CA 93551
(661) 526-3945
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1205228699
26910 SIERRA HWY STE D8
Santa Clarita, CA 91321
(661) 388-5750
✔ PECOS✔ Accepts Medicare25 mi
Internal Medicine
NPI 1174718134
10515 BALBOA BLVD STE 325
Granada Hills, CA 91344
(186) 789-8758
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1104481704
511 N HOLLYWOOD WAY
Burbank, CA 91505
(866) 389-2727
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1760046924
14541 DELANO ST
Van Nuys, CA 91411
(877) 515-8113
✔ PECOS✔ Accepts Medicare34 mi
Family Practice
NPI 1356781132
17507 CRENSHAW BLVD
Torrance, CA 90504
(310) 324-4443
✔ PECOS✔ Accepts Medicare51 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 of Waiver 05D2284913

Palmdale Urgent Care · Palmdale, CA
Active · expires Jun 28, 2027
CLIA Number05D2284913
Laboratory TypeUrgent Care
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorRomeo Castillo
Laboratory Phone(661) 855-4044
Laboratory LocationPalmdale Urgent Care2270 Palmdale Blvd Suite F, Palmdale, CA 93550
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Palmdale Urgent Care Inc's NPI number?

The NPI number for Palmdale Urgent Care Inc is 1699480038. It was assigned to this organization in the NPPES registry on January 19, 2023.

Where is Palmdale Urgent Care Inc located?

Palmdale Urgent Care Inc is located at 2270 E Palmdale Blvd Ste F, Palmdale, CA 93550. The listed phone number is (661) 855-4044.

What is Palmdale Urgent Care Inc's specialty?

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

Is Palmdale Urgent Care Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Palmdale Urgent Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Palmdale 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 (4), Family Practice (1) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Palmdale Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2284913) is associated with this NPI, valid through June 28, 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 Palmdale Urgent Care Inc was last updated on January 19, 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.