Organization Active NPI

Advanced Urgent Care of City Line

  • Family Medicine Physician
  • Phila, PA
National Provider Identifier
1033400320
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCED URGENT CARE OF CITY LINE
Practice address
5058 City Line Ave.
Phila, PA 19131
Phone
(215) 921-6510
Fax
(215) 921-6985
NPI assigned
Apr 21, 2011
Last updated
Mar 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Dr. Mehdi Nikparvar, M.D.
Title
Owner
Phone
(215) 921-6510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5058 City Line Ave.
Phila, PA 19131

Mailing address

5058 City Line Ave.
Phila, PA 19131
Phone (215) 921-6510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1033400320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 CITY LINE AVE.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-921-6510",
            "fax_number": "215-921-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 CITY LINE AVE.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-921-6510",
            "fax_number": "215-921-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED URGENT CARE OF CITY LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "NIKPARVAR",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-921-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.