Active NPI
Lincoln Heights Urgent Care
- Urgent Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1053789776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LINCOLN HEIGHTS URGENT CARE
- Practice address
- 2813 N Broadway
Los Angeles, CA 90031-2611 - Phone
- (323) 342-9764
- Fax
- (323) 342-9656
- NPI assigned
- Sep 11, 2015
- 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
- Dr. Tomas A Sevilla, M.D.
- Title
- Owner
- Phone
- (323) 342-9764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2813 N Broadway
Los Angeles, CA 90031-2611
Mailing address
2813 N Broadway
Los Angeles, CA 90031-2611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A63670 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442016000000",
"number": "1053789776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312611",
"telephone_number": "323-342-9764",
"fax_number": "323-342-9656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN HEIGHTS URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-12",
"status": "A",
"authorized_official_last_name": "SEVILLA",
"authorized_official_first_name": "TOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-342-9764",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A63670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Linco Pharmacy, Inc.
- Lincoln Heights Dialysis Center, LLC
- Lincoln Heights Family and Industrial Medical Clinic
- Lincoln Heights Treatment Center, LLC
- Lincoln Heights Treatment Center, LLC
- Saul Victor Lincoln, MD
- Linda a Thompson, a Psychological Corporation
- Linda B. Chen, DDS
- Linda Donofrio
- Linda Foster Optometry, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.