NPIMap

Organization Active NPI

Ae Urgent Care - Van Nuys

  • Urgent Care Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1265172266
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AE URGENT CARE - VAN NUYS
Practice address
14614 Victory Blvd
Van Nuys, CA 91411-1621
Phone
(747) 264-1212
NPI assigned
Mar 30, 2022
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Schuyler Heird
Title
Vice President
Phone
(747) 264-1212

Specialties & licenses 1

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

Addresses

Primary practice location

14614 Victory Blvd
Van Nuys, CA 91411-1621

Mailing address

14614 Victory Blvd
Van Nuys, CA 91411-1621
Phone (747) 264-1212

Other identifiers 1

IdentifierTypeStateIssuer
1003053851OtherCALA CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DRCHRONO Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230130000346 CA Part B Supplier - Clinic/Group Practice 0749651750 Receives reassigned benefits from 10 practitioners
Practice locations: Van Nuys, 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
05D2289272Ae Urgent Care - Van Nuys14614 Victory Blvd, Van Nuys, CA 91411Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Locations

14614 Victory Blvd
Van Nuys, CA 91411
Phone (747) 262-0568

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1265172266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14614 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "747-264-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14614 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "747-264-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AE URGENT CARE - VAN NUYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "HEIRD",
        "authorized_official_first_name": "SCHUYLER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "747-264-1212"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CARE",
            "identifier": "1003053851",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DRCHRONO",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14614 Victory Blvd",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914111621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.