NPIMap

Organization Active NPI

Brentview Medical Inc.

Doing business as Brentview Medical Urgent Care

  • Urgent Care Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1326631177
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BRENTVIEW MEDICAL INC.
Doing business as
Brentview Medical Urgent Care
Practice address
8264 Santa Monica Blvd
West Hollywood, CA 90046-5915
Phone
(323) 522-2222
Fax
(323) 654-2221
NPI assigned
Feb 12, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BRENTVIEW MEDICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Raphael DarvishNPI 1245457811
Title
Authorized Official
Phone
(310) 826-2555

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 NU Primary

Addresses

Primary practice location

8264 Santa Monica Blvd
West Hollywood, CA 90046-5915

Mailing address

11611 San Vicente Blvd
Los Angeles, CA 90049-5106
Phone (310) 820-0013

Other names 1

  • Brentview Medical Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Brentview Medical Inc

Locations

11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060

11611 San Vicente Blvd
Lbby
Los Angeles, CA 90049
Phone (310) 820-0013

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

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": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1326631177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495106",
            "telephone_number": "310-820-0013",
            "fax_number": "310-207-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8264 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465915",
            "telephone_number": "323-522-2222",
            "fax_number": "323-654-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTVIEW MEDICAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENTVIEW MEDICAL INC",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-826-2555"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentview Medical Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.