Organization Active NPI

Sylmar Medical PC

  • Urgent Care Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1346936853
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SYLMAR MEDICAL PC
Practice address
5612 Van Nuys Blvd
Sherman Oaks, CA 91401-4602
Phone
(818) 357-5459
NPI assigned
Apr 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Lawrence Vernon Tucker, MD
Title
Ceo
Phone
(949) 390-4730

Specialties & licenses 1

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

Addresses

Primary practice location

5612 Van Nuys Blvd
Sherman Oaks, CA 91401-4602

Mailing address

20274 Via Medici
Porter Ranch, CA 91326-4059
Phone (818) 425-4309

Other names 1

  • AFC Medical Doing business as

National Provider Directory

National Provider Directory

Locations

5612 Van Nuys Blvd
Sherman Oaks, CA 91401
Phone (818) 357-5459

13772 Foothill Blvd
Sylmar, CA 91342

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1346936853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20274 VIA MEDICI",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264059",
            "telephone_number": "818-425-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914014602",
            "telephone_number": "818-357-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLMAR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-390-4730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFC Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.