Organization Active NPI

Nurse Adam Healthcare LLC

Doing business as NMB Mobile Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lakewood, CA
National Provider Identifier
1215620638
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NURSE ADAM HEALTHCARE LLC
Doing business as
NMB Mobile Urgent Care LLC
Practice address
4548 Palo Verde Ave
Lakewood, CA 90713-2635
Phone
(818) 940-9500
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Jeffrey Bloomberg
Title
Owner
Phone
(818) 940-9500

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X
Infusion Therapy Clinic/Center 261QI0500X
Migrant Health Clinic/Center 261QM1000X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Prison Health Clinic/Center 261QP2400X
Research Clinic/Center 261QR1100X
Rural Health Clinic/Center 261QR1300X
Urgent Care Clinic/Center 261QU0200X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

4548 Palo Verde Ave
Lakewood, CA 90713-2635

Mailing address

5150 Candlewood St Ste 2
Lakewood, CA 90712-1900
Phone (818) 940-9500

Other practice location 1

802 Sea Mountain Hwy Ste A
North Myrtle Beach, SC 29582-2496
Phone (818) 940-9500

Other names 1

  • NMB MOBILE URGENT CARE LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5150 Candlewood St
Ste 2
Lakewood, CA 90712

802 Sea Mountain Hwy
Ste A
North Myrtle Beach, SC 29582
Phone (818) 940-9500

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1215620638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST STE 2",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121900",
            "telephone_number": "818-940-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4548 PALO VERDE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132635",
            "telephone_number": "818-940-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Sea Mountain Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295822496",
            "country_code": "US",
            "telephone_number": "818-940-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURSE ADAM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "BLOOMBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-940-9500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMB MOBILE URGENT CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.