Organization Active NPI

Elite Urgent Care Inc

  • Urgent Care Clinic/Center
  • Encino, CA
National Provider Identifier
1255190245
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ELITE URGENT CARE INC
Practice address
16661 Ventura Blvd Ste 108
Encino, CA 91436-1902
Phone
(818) 823-3988
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
David ZohrabianNPI 1083865810
Title
Ceo
Phone
(818) 823-3988

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 1

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

Addresses

Primary practice location

16661 Ventura Blvd Ste 108
Encino, CA 91436-1902

Mailing address

16661 Ventura Blvd Ste 108
Encino, CA 91436-1902
Phone (818) 823-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240809003219 CA Part B Supplier - Clinic/Group Practice 7416495346 Receives reassigned benefits from 4 practitioners
Practice locations: Encino, CA
O20241212001936 CA DME Supplier - OtherDME Supplier - Physician - General Practice 7416495346 Practice locations: Encino, 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
05D2311411Elite Urgent Care16661 Ventura Blvd, Ste 108, Encino, CA 91436ComplianceMay 28, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Elite Urgent Care Inc16661 Ventura Blvd, Encino, CA 91436-1902(818) 600-4989 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers Accepts assignmentParticipating since Jul 22, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1255190245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361902",
            "telephone_number": "818-823-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361902",
            "telephone_number": "818-823-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "ZOHRABIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-823-3988"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.