Organization Active NPI

Quick Care Medical Center Inc

  • General Practice Physician
  • Van Nuys, CA
National Provider Identifier
1063849065
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A43573 Issued in CA
Legal business name
QUICK CARE MEDICAL CENTER INC
Practice address
14426 Gilmore St
Suite a
Van Nuys, CA 91401-1429
Phone
(310) 991-4950
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Iradj Nazarian, MD
Title
Ceo
Phone
(310) 991-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A43573 CA Primary

Addresses

Primary practice location

14426 Gilmore St
Suite a
Van Nuys, CA 91401-1429

Mailing address

14426 Gilmore St
Suite a
Van Nuys, CA 91401-1429
Phone (310) 991-4950

National Provider Directory

National Provider Directory

Locations

14426 Gilmore St
#A
Van Nuys, CA 91401
Phone (818) 778-6711

14426 Gilmore St
Ste A
Van Nuys, CA 91401
Phone (310) 991-4950

Practitioners & affiliated clinicians

Practitioners 1

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": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1063849065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14426 GILMORE ST",
            "address_2": "SUITE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011429",
            "telephone_number": "310-991-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14426 GILMORE ST",
            "address_2": "SUITE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011429",
            "telephone_number": "310-991-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "IRADJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-991-4950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A43573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.