Healthcare Provider Details

I. General information

NPI: 1346646775
Provider Name (Legal Business Name): UNIVERSAL URGENT CARE AND OCCUPATIONAL MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8325 BRIMHALL RD STE 100
BAKERSFIELD CA
93312-2245
US

IV. Provider business mailing address

7850 WHITE LN E200
BAKERSFIELD CA
93309-7698
US

V. Phone/Fax

Practice location:
  • Phone: 661-679-6720
  • Fax: 661-829-7860
Mailing address:
  • Phone: 661-679-6720
  • Fax: 661-829-7860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ASHOK PARMAR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 661-679-6720