Organization Active NPI

The Urgent Care at Vermont

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1083011670
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A94119 Issued in CA
Legal business name
THE URGENT CARE AT VERMONT
Practice address
1234 N Vermont Ave
Los Angeles, CA 90029-1704
Phone
(323) 660-0831
Fax
(323) 389-9128
NPI assigned
Nov 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Daniel Linares, M.D.
Title
Medical Director
Phone
(323) 660-0831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A94119 CA Primary

Addresses

Primary practice location

1234 N Vermont Ave
Los Angeles, CA 90029-1704

Mailing address

1234 N Vermont Ave
Los Angeles, CA 90029-1704
Phone (323) 660-0831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226001701 CA Part B Supplier - Clinic/Group Practice 5890090955 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, 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
05D2103661Urgent Care at Vermont1234 N Vermont Ave, Los Angeles, CA 90029Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Locations

1234 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 660-0831

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1083011670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291704",
            "telephone_number": "323-660-0831",
            "fax_number": "323-389-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291704",
            "telephone_number": "323-660-0831",
            "fax_number": "323-389-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE URGENT CARE AT VERMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "LINARES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-660-0831",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A94119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.