PREMIUM URGENT CARE
NPI 1821473935
Clinic/Center - Urgent Care in Fresno, CA

NPI Status: Active since July 30, 2015

Contact Information

6643 N. MILBURN AVE
SUITE 104
FRESNO, CA
ZIP 93722
Phone: (559) 797-4315
Fax: (559) 321-8730

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 05D2106361
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-18-2026

About PREMIUM URGENT CARE

This page provides the complete NPI Profile along with additional information for Premium Urgent Care, a provider established in Fresno, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1821473935 assigned on July 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Premium Urgent Care. The authorized official of this NPI record is Dr. Erick J Green Md (Owner)

NPI
1821473935
Provider Legal Name
PREMIUM URGENT CARE, INC.
Other Organization Name
PREMIUM URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6643 N. MILBURN AVE SUITE 104 FRESNO, CA 93722
Location Phone
(559) 797-4315
Location Fax
(559) 321-8730
Mailing Address
2021 HERNDON AVE STE 101 CLOVIS, CA 93611
Mailing Phone
(559) 797-4315
Mailing Fax
(559) 321-8730
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2015
Last Update Date
05-02-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ERICK J GREEN MD

Authorized Official Title
OWNER
Authorized Official Phone
(559) 797-4315

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ83169YOTHER (01)CABLUE SHIELD GROUP PIN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2106361
Facility Type
Physician Office
Certificate Effective Date
June 19, 2024
Certificate Expiration Date
June 18, 2026
Laboratory Director
DR. ERICK J. GREEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Premium Urgent Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for PREMIUM URGENT CARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821473935, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 8 + 7 + 6 + 9 + 6 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1821473935.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821473935, enumerated as an "organization" on July 30, 2015.

The provider is located at 6643 N. MILBURN AVE SUITE 104 FRESNO, CA 93722 and the phone number is (559) 797-4315.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.