Anaheim Urgent Care
Organization Active NPI Urgent Care Clinic/Center · Venice, CA
NPI 1003226044 · NPPES record last updated Apr 29, 2014
Key facts
- NPI
- 1003226044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- ANAHEIM URGENT CARE
- Practice address
- 2006 Lincoln Blvd
Venice, CA 90291-3949 - Phone
- (310) 396-2273
- NPI assigned
- Apr 29, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Pejman Bolourian, MD
- Title
- Secretary
- Phone
- (714) 533-2273
Other NPIs on the same Medicare enrollment 35
Practitioners 9
-
Naheed P. Ali, M.D.
-
Russell S. Alterman, D.O.
-
Shriti Bhadel, PA-C
-
Farahnaz Eskandari, M.D.
-
Ela Grigorian, MD
-
Rashel J Tahzib, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080606000728 | CA | Part B Supplier - Clinic/Group Practice | 8325118029 |
Receives reassigned benefits from 172 practitioners 35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA; Moorpark, CA; North Hollywood, CA; Pasadena, CA; Rancho Palos Verdes, CA; Santa Monica, CA; Thousand Oaks, CA; Torrance, CA… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
2006 Lincoln Blvd
Venice, CA 90291-3949
Mailing address
2006 Lincoln Blvd
Venice, CA 90291-3949
Phone (310) 396-2273
Other names
- Venice Urgent Care
Other providers in Venice, CA
- Desery Alvarado
- Cynthia Ambres
- American Health Services LLC
- American Health Services LLC
- Aliza Amsellem
- Allona Rae Anders
- Elizabeth Anne Anderson
- Sarah Anderson
- Blanca Andres
- Mario Bradford Antonioni
All providers in Venice, CA · Urgent Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.