MEDICARE: AMERICAN CURRENT CARE OF CALIFORNIA, A MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1023207065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CURRENT CARE OF CALIFORNIA, A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DRIVE
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001
Country	:	US
Telephone Number	:	972-364-8000
Fax Number	:	214-775-4502

Provider Business Practice Location Address
First Line	:	6174 STATE FARM DRIVE
Second Line	:
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928
Country	:	US
Telephone Number	:	707-586-4320
Fax Number	:	707-586-4328

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY L. WAINSTEIN
Credential	:	M.D.
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	07/21/2016

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