Organization Active NPI

Urban Med

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1295019487
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A8154 Issued in CA
Legal business name
URBAN MED
Practice address
408 W 11TH St
Los Angeles, CA 90015-2102
Phone
(213) 406-8055
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Stacey Naito, D.O
Title
Physician
Phone
(213) 406-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 20A8154 CA Primary

Addresses

Primary practice location

408 W 11TH St
Los Angeles, CA 90015-2102

Mailing address

408 W 11TH St
Los Angeles, CA 90015-2102
Phone (213) 406-8055

Other identifiers 1

IdentifierTypeStateIssuer
20A8154OtherCALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295019487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 11TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152102",
            "telephone_number": "213-406-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 11TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152102",
            "telephone_number": "213-406-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NAITO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-406-8055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A8154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A8154",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.