The Berkeley Clinic, Inc
Organization Active NPI Urgent Care Clinic/Center · Los Angeles, CA
NPI 1326344938 · NPPES record last updated Jan 28, 2011
Key facts
- NPI
- 1326344938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- License
- 39290 (CA)
- Legal business name
- THE BERKELEY CLINIC, INC
- Practice address
- 6430 Selma Ave
Los Angeles, CA 90028-7311 - Phone
- (323) 848-4522
- NPI assigned
- Jan 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Rito Hill, M.D.
- Title
- President
- Phone
- (323) 848-4522
Corporate family (same tax ID) 1
Practitioners 9
-
Rito Castanon-Hill, M.D.
-
Maurice Anthony Adkins, P.A.
-
Christina Brown, PA-C
-
Lara Conovaloff, PA-C
-
Nadgeda Moore, M.D.
-
Jasmine Neman, PA-C
-
Mary Hannah Veal, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220906001161 | CA | Part B Supplier - Clinic/Group Practice | 6305220666 |
Receives reassigned benefits from 1 practitioner Practice locations: Los Angeles, CA |
National Provider Directory
- Tax ID family
- Hollywood Walk in Clinic
Locations
8939 S Sepulveda Blvd
Los Angeles, CA 90045
Phone (213) 808-7724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 39290 | CA | Yes |
Addresses
Primary practice location
6430 Selma Ave
Los Angeles, CA 90028-7311
Mailing address
8939 S Sepulveda Blvd
Los Angeles, CA 90045-3631
Phone (323) 848-4522
Other names
- Hollywood Walk-in Clinic
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.