Organization Active NPI

American Urgent Care Center Inc

  • Urgent Care Clinic/Center
  • Tarzana, CA
National Provider Identifier
1043734924
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMERICAN URGENT CARE CENTER INC
Practice address
18840 Ventura Blvd Ste 110
Tarzana, CA 91356-3301
Phone
(123) 456-7891
NPI assigned
Aug 1, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Robert NewmanNPI 1568596682
Title
MD
Phone
(310) 339-7228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

18840 Ventura Blvd Ste 110
Tarzana, CA 91356-3301

Mailing address

18840 Ventura Blvd Ste 110
Tarzana, CA 91356-3301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171113000389 CA Part B Supplier - Clinic/Group Practice 2961768791 Receives reassigned benefits from 2 practitioners
Practice locations: Tarzana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2138090American Urgent Care Center18840 Ventura Blvd Ste 110, Tarzana, CA 91356Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

18840 Ventura Blvd
Ste 110
Tarzana, CA 91356
Phone (818) 600-8343

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1043734924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18840 VENTURA BLVD STE 110",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18840 VENTURA BLVD STE 110",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563301",
            "telephone_number": "123-456-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN URGENT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-339-7228"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.