EASTLAKE URGENT CARE LLC
NPI 1760294185
Clinic/Center - Urgent Care in Chula Vista, CA
About Eastlake Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTLAKE URGENT CARE LLC (NPI 1760294185) is a healthcare organization registered as an urgent care in Chula Vista, California and active in the NPI registry since January 2025. The organization lists Tarek M Hassanein, Administrator, 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)
Eastlake Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Eastlake Urgent Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Eastlake Urgent Care LLC's NPI number?
The NPI number for Eastlake Urgent Care LLC is 1760294185. It was assigned to this organization in the NPPES registry on January 22, 2025.
Where is Eastlake Urgent Care LLC located?
Eastlake Urgent Care LLC is located at 2436 Fenton St Bldg 6, Chula Vista, CA 91914. The listed phone number is (619) 581-0509.
What is Eastlake Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Eastlake Urgent Care LLC enrolled in Medicare?
Yes. Eastlake Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastlake Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Eastlake Urgent Care LLC. 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 Internal Medicine (3) and Gastroenterology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eastlake Urgent Care LLC was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Eastlake Urgent Care Llc · NPI 1760294185
Urgent Care organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since January 22, 2025.
## Identity
- **NPI:** 1760294185 (Entity type: Organization)
- **Enumerated:** January 22, 2025
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Tarek Hassanein, ADMINISTRATOR
## Practice location
- **Address:** 2436 FENTON ST BLDG 6, Chula Vista, CA 91914-3516
- **Phone:** (619) 581-0509
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Gastroenterology (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760294185) · Data from the CMS NPPES public registry.