NPIMap

Organization Active NPI

Agoura Hills Urgentocare PC

  • Urgent Care Clinic/Center
  • Agoura Hills, CA
National Provider Identifier
1043840465
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AGOURA HILLS URGENTOCARE PC
Practice address
5825 Kanan Rd
Agoura Hills, CA 91301-1651
Phone
(424) 355-1963
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Svetlana Kertanova, CEO
Title
Ceo
Phone
(818) 483-0775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5825 Kanan Rd
Agoura Hills, CA 91301-1651

Mailing address

5825 Kanan Rd Ste B
Agoura Hills, CA 91301-1691
Phone (818) 483-0775

Other practice location 1

475 E Avenida De Los Arboles Ste B
Thousand Oaks, CA 91360-2993
Phone (818) 483-0885

Other names 1

  • AFC Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200310001981 CA Part B Supplier - Clinic/Group Practice 3476981226 Receives reassigned benefits from 20 practitioners
Practice locations: Agoura Hills, CA; Thousand Oaks, CA
O20240213004576 CA DME Supplier - Physician - General Practice 3476981226 Practice locations: Agoura Hills, 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
05D2182741Agoura Hills Urgentocare, PC5825 Kanan Rd, #B, Agoura Hills, CA 91301Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory

Locations

5825 Kanan Rd
Ste B
Agoura Hills, CA 91301
Phone (424) 355-9163

5825 Kanan Rd
Agoura Hills, CA 91301
Phone (424) 355-1963

475 E Avenida de los Arboles
Thousand Oaks, CA 91360

475 E Avenida de los Arboles
Ste B
Thousand Oaks, CA 91360
Phone (818) 483-0885

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1043840465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 KANAN RD STE B",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011691",
            "telephone_number": "818-483-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011651",
            "telephone_number": "424-355-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 E Avenida De Los Arboles Ste B",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913602993",
            "country_code": "US",
            "telephone_number": "818-483-0885",
            "fax_number": "818-936-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGOURA HILLS URGENTOCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "KERTANOVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-483-0775",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.