Urdc Human Services Corporation

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

CMM70645F Issued in CA

Legal business name

URDC HUMAN SERVICES CORPORATION

Doing business as

Bill Moore Community Health Clinic

Practice address

1460 N Lake Ave
Pasadena, CA 91104-2300

Phone

(626) 398-3796

Fax

(626) 398-3895

NPI assigned

Jun 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Al Sorkin, PH.D.

Title

Executive Director

Phone

(626) 398-3796

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bill Moore Community Health Clinic Doing business as

Practitioners 2

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.

• David I Hantman I, M.D.

  • Family Medicine Physician
  • Inglewood, CA
  • NPI 1306890462
  NPD (past)
• Felicitacion Sibayan Morris, MD

  • General Practice Physician
  • Long Beach, CA
  • NPI 1750428496
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114963642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE",
            "address_2": "P.O. BOX 41274",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300",
            "telephone_number": "626-398-3796",
            "fax_number": "626-398-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300",
            "telephone_number": "626-398-3796",
            "fax_number": "626-398-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URDC HUMAN SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORKIN",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-398-3796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "CMM70645F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70645F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "W16126",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bill Moore Community Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morse Kilburn Upshaw, D.P.M.
• Rachel Upton, RN
• Ryan Michael Upton, DPT
• Justine Urauchi, DPT
• Alejandra Urbina
• Urdc Human Services Corporation
• Liliana Urenda, ASW
• Urgent Hospice & Palliative Care, Inc.
• Sahar Rahimi Uriarte, MS, RD
• Stephanie Urias

• Community Health Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.