Ennead Enterprises Corp

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

G52007 Issued in CA

Legal business name

ENNEAD ENTERPRISES CORP

Practice address

23501 Cinema Dr.
Suire #100
Valencia, CA 91355

Phone

(661) 255-2880

Fax

(661) 255-2190

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lilly Rose Marshall, M.D.

Title

Director

Phone

(661) 255-2880

Specialties & licenses 1

Addresses

Other names 1

• SC Physicians Immediate Care Doing business as

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174670210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26012 OHARA LN",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811109",
            "telephone_number": "661-255-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR.",
            "address_2": "SUIRE #100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-255-2880",
            "fax_number": "661-255-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNEAD ENTERPRISES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LILLY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-255-2880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "G52007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC Physicians Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Empowered to Bloom
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• Douglas Marshall Engh, M.D. ,F.A.C.S., INC.
• Ennead Enterprises Corp.
• Edgar Antonio Enriquez, M.D.
• Ariana Escala
• Monica Alexandra Escalante, RN
• Diana Escarcega

• Urgent Care Clinic/Center in Valencia, CA
• Providers in Valencia, CA by specialty
• Urgent Care 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.