Active NPI
Novak Urgent Care Ambulatory Surgery Inc
- Ambulatory Surgical Clinic/Center
- Indio, CA
National Provider Identifier
1053719757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 00G518830
- Legal business name
- NOVAK URGENT CARE AMBULATORY SURGERY INC
- Practice address
- 80545 US Highway 111
Indio, CA 92201-8367 - Phone
- (760) 347-9221
- Fax
- (760) 479-5930
- NPI assigned
- Dec 11, 2014
- Last updated
- Dec 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Oganyan
- Title
- Coo
- Phone
- (626) 791-9004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 00G518830 | CA | Primary |
Addresses
Primary practice location
80545 US Highway 111
Indio, CA 92201-8367
Mailing address
80545 US Highway 111
Indio, CA 92201-8367
Phone (760) 347-9221
National Provider Directory
National Provider DirectoryLocations
80545 US Highway 111
Indio, CA 92201
Phone (760) 347-9221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418342400000",
"number": "1053719757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80545 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922018367",
"telephone_number": "760-347-9221",
"fax_number": "760-479-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80545 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922018367",
"telephone_number": "760-347-9221",
"fax_number": "760-479-5930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAK URGENT CARE AMBULATORY SURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-12",
"status": "A",
"authorized_official_last_name": "OGANYAN",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "626-791-9004"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "00G518830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.