NPIMap

Organization Active NPI

Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Encino, CA
National Provider Identifier
1003588286
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ANAHEIM URGENT CARE, INC.
Practice address
16661 Ventura Blvd Ste 108
Encino, CA 91436-1902
Phone
(818) 738-9111
Fax
(818) 858-0044
NPI assigned
Oct 5, 2021
Organization subpart
Yes
Parent organization
ANAHEIM URGENT CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamala Pratt
Title
Director of Operations
Phone
(714) 533-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 108
Encino, CA 91436-1902

Mailing address

1300 N la Brea Ave
Los Angeles, CA 90028-7504
Phone (323) 464-1336

Other names 1

  • UrgentMed Encino Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory
Tax ID family
Anaheim Urgent Care Inc27 organizations share this tax ID, including this one
Part of
Anaheim Urgent Care Inc

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1003588286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287504",
            "telephone_number": "323-464-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361902",
            "telephone_number": "818-738-9111",
            "fax_number": "818-858-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM URGENT CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANAHEIM URGENT CARE, INC.",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "JAMALA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-533-2273"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UrgentMed Encino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.