Active NPI
Sylmar Medical PC
- Urgent Care Clinic/Center
- Sherman Oaks, CA
National Provider Identifier
1346936853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.