Organization Active NPI

Theresa MLM Inc.

Doing business as Urgent Plus

  • General Practice Physician
  • Newbury Park, CA
National Provider Identifier
1104468719
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THERESA MLM INC.
Doing business as
Urgent Plus
Practice address
2904 Theresa Dr.
Suite #3
Newbury Park, CA 91320-3152
Phone
(805) 410-4566
NPI assigned
Oct 15, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Mr. Aram Mkhitarian, D.O.NPI 1952565301
Title
Medical Director
Phone
(805) 410-4566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Nurse Practitioner 363L00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2904 Theresa Dr.
Suite #3
Newbury Park, CA 91320-3152

Mailing address

2904 Theresa Dr.
Suite #3
Newbury Park, CA 91320-3152

Other names 1

  • Urgent Plus Doing business as

National Provider Directory

National Provider Directory

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": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1104468719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 THERESA DR.",
            "address_2": "SUITE #3",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 THERESA DR.",
            "address_2": "SUITE #3",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203152",
            "telephone_number": "805-410-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA MLM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "MKHITARIAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-410-4566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.