Organization Active NPI

Novak Urgent Care Ambulatory Surgery Inc

  • Ambulatory Surgical Clinic/Center
  • Indio, CA
National Provider Identifier
1053719757
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
00G518830 Issued in CA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.