Provider Demographics
NPI:1689835563
Name:URGENTPOINT MEDICAL GROUP, PC
Entity Type:Organization
Organization Name:URGENTPOINT MEDICAL GROUP, PC
Other - Org Name:UP MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHAUVAPUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-951-0065
Mailing Address - Street 1:PO BOX 7092
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-7092
Mailing Address - Country:US
Mailing Address - Phone:323-438-0483
Mailing Address - Fax:833-438-8700
Practice Address - Street 1:15030 7TH STREET
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395
Practice Address - Country:US
Practice Address - Phone:833-438-8763
Practice Address - Fax:833-438-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOG660080Medicaid