NPIMap

Organization Active NPI

United Urgent Care and Wellness Center, Inc.

  • Urgent Care Clinic/Center
  • Carson, CA
National Provider Identifier
1275948994
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNITED URGENT CARE AND WELLNESS CENTER, INC.
Practice address
522 W Carson St
Carson, CA 90745-2635
Phone
(310) 320-3400
Fax
(424) 781-8651
NPI assigned
Jun 23, 2014
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Shahrzad Mazaheri, RN, MSN
Title
Manager
Phone
(310) 383-5310

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X
Radiology Clinic/Center 261QR0200X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

522 W Carson St
Carson, CA 90745-2635

Mailing address

522 W Carson St
Carson, CA 90745-2635

Other practice location 1

2421 Pacific Coast Hwy
Lomita, CA 90717-2301
Phone (310) 320-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141116000048 CA Part B Supplier - Clinic/Group Practice 9234351842 Receives reassigned benefits from 1 practitioner
Practice locations: Carson, 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
05D2085914United Urgent Care and Wellness Center Inc522 W Carson St, Carson, CA 90745Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

2421 Pacific Coast Hwy
Lomita, CA 90717
Phone (310) 320-3400

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1275948994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452635",
            "telephone_number": "310-320-3400",
            "fax_number": "424-781-8651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Lomita",
            "state": "CA",
            "postal_code": "907172301",
            "country_code": "US",
            "telephone_number": "310-320-3400",
            "fax_number": "424-781-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED URGENT CARE AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MAZAHERI",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-383-5310",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.